# WAYNE FLEISHHACKER, DO, LLC

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

## Provider details

- **NPI number:** 1811388432
- **Authorized official:** MR. WAYNE FLEISHHACKER DO (PRESIDENT)
- **Authorized official phone:** (973) 291-8442

## Contact information

- **Practice address:** 135 KINNELON RD, SUITE 206, KINNELON, NJ 07405-2333
- **Practice address phone:** (973) 291-8441
- **Mailing address:** 135 KINNELON RD, SUITE 206, KINNELON, NJ 07405-2333
- **Mailing address phone:** (973) 291-8441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/18/2015