Individual
FRANCIS E WANAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 HIGHLAND AVE, SUITE 302, GLEN RIDGE, NJ 07028-1527
(973) 748-9555
(973) 748-2003
Mailing address
123 HIGHLAND AVE, SUITE 302, GLEN RIDGE, NJ 07028-1527
(973) 748-9555
(973) 748-2003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA02297300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205508
—
NJ
Enumeration date
05/20/2006
Last updated
07/08/2007
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