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Individual

WESLEY GINGERELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9800
(973) 267-1737
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
25MP00715700
NJ
363AS0400X
Surgical Physician Assistant
5237
CT

Other

Enumeration date
12/08/2020
Last updated
10/14/2022
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