Individual
GARY E WNEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3836
Mailing address
PO BOX 8505, CHERRY HILL, NJ 08002-0505
(856) 755-1616
(856) 755-0098
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA04840000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132977000
AMERIHEALTH
NJ
01
—
1005447
HORIZON NJ HEALTH
NJ
05
—
1256106
—
NJ
01
—
40149
AMERIGROUP
NJ
Enumeration date
06/06/2006
Last updated
07/08/2007
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