Individual
DR. PETER CHRISTOPHER WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
3131 PRINCETON PIKE, BLDG 4A STE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 896-9190
(609) 896-3555
Mailing address
3131 PRINCETON PIKE, BLDG 4A STE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 896-9190
(609) 896-3555
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA08837900
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MA08837900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175461
AIUM ULTRASOUND ACCREDITATION
NJ
Enumeration date
06/22/2010
Last updated
06/27/2014
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