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Individual

DR. MENDLEY A WULFSOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1033 CLIFTON AVE, CLIFTON, NJ 07013-3517
(973) 473-5700
(973) 473-3367
Mailing address
1033 CLIFTON AVE, CLIFTON, NJ 07013
(973) 473-5700
(973) 473-3367

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA37283
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028399
AETNA HMO#
NJ
01
0110272000
AMERIHEALTH ID#
NJ
01
04A761
EMPIRE BCBS (CLIFTON)
NJ
01
04A762
EMPIRE BCBS (WAYNE)
NJ
01
0K2315
HEALTHNET ID#
NJ
01
1000339
GHI PPO#
NJ
01
398357
WELLCARE
NJ
01
4229231
AETNA PPO#
NJ
01
PS124
OXFORD ID#
NJ
Enumeration date
07/08/2006
Last updated
04/15/2008
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