# MONTVILLE PARK PHYSICIAN ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528231875
- **Authorized official:** DR. WAGIH WASSEF M.D. (PRESIDENT)
- **Authorized official phone:** (973) 263-9900

## Contact information

- **Practice address:** 150 RIVER RD, SUITE N1, MONTVILLE, NJ 07045-9441
- **Practice address phone:** (973) 263-9900
- **Mailing address:** 150 RIVER RD, SUITE N1, MONTVILLE, NJ 07045-9441
- **Mailing address phone:** (973) 263-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA061582 | NJ | Yes |
| 208000000X | Pediatrics Physician | MA081421 | NJ | — |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008