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Individual
DR. KURT RICHARD WENGERTER
Active
Individual
DR. KURT RICHARD WENGERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA06395000
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA06395000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026099
—
NY
01
—
020034631
RAILROAD MEDICARE ID #
NJ
05
—
6984100
—
NJ
Enumeration date
03/22/2006
Last updated
03/12/2017
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