Provider Demographics
NPI:1417704925
Name:OGUELIS, WILHAROLD
Entity type:Individual
Prefix:
First Name:WILHAROLD
Middle Name:
Last Name:OGUELIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E PARK ST APT 20B
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1643
Mailing Address - Country:US
Mailing Address - Phone:347-259-1202
Mailing Address - Fax:
Practice Address - Street 1:60 E PARK ST APT 20B
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1643
Practice Address - Country:US
Practice Address - Phone:347-259-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical