Individual
WESLEY THEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2324
(201) 387-0177
(201) 387-0114
Mailing address
19 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2324
(201) 387-0177
(201) 387-0114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06949100
NJ
Other
Enumeration date
07/03/2006
Last updated
04/08/2014
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