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Organization

ROBERT L WELLNER

Active
Other names
Patient Centered Medical Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT L WELLNER DO (OWNER)
(609) 358-1788
Entity
Organization

Contact information

Practice address
10 FORRESTAL RD S, SUITE 209, PRINCETON, NJ 08540-6666
(609) 720-0032
(609) 720-0034
Mailing address
10 FORRESTAL RD S, SUITE 209, PRINCETON, NJ 08540-6666
(609) 720-0032
(609) 720-0034

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MB07771400
NJ
208VP0000X
Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
269738
MEDICARE PTAN
Enumeration date
12/19/2012
Last updated
01/05/2016
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