Individual
DR. SEAN PATRICK WENGERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, RPVI
Contact information
Practice address
5A MEDICAL PARK DR, POMONA, NY 10970
(845) 362-0075
Mailing address
5A MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 362-0075
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
25MA10255100
NJ
2086S0129X
Vascular Surgery Physician
Primary
276619-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
06/26/2018
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