Individual
GWENDOLYN WEIGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MAIN ST, SPARTA, NJ 07871-1948
(201) 498-9140
Mailing address
100 HOLLISTER RD, TETERBORO, NJ 07608-1148
(201) 498-9140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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