Individual
DR. GHASSAN LOUIS WARDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
342 HAMBURG TPKE STE 101, WAYNE, NJ 07470-2166
(973) 942-4140
(973) 942-5070
Mailing address
342 HAMBURG TPKE STE 101, WAYNE, NJ 07470-2166
(973) 942-4140
(973) 942-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07703500
NJ
207RP1001X
Pulmonary Disease Physician
233510
NY
207RP1001X
Pulmonary Disease Physician
25MA07703500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040117774
UHC
NJ
01
—
07135891
AMERIGROUP
NJ
01
—
086482
HIGHMARK MEDICARE SERVICES
NJ
05
—
101206245
—
PA
01
—
1997788
WELLCARE
NJ
01
—
60420852
HORIZON NJ
NJ
01
—
6149915
AETNA
NY
01
—
P616-3453
OXFORD
NJ
01
—
PBS0042956765
AMERIHEALTH
NJ
Enumeration date
08/09/2005
Last updated
04/30/2021
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