Individual
PAUL WANGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Mailing address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43085
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000350800
AMERICHOICE
—
01
—
0300997000
AMERIHEALTH
—
01
—
1001644002
CIGNA
—
05
—
1918206
—
NJ
01
—
19E881
WELLCHOICE
—
01
—
1K9394
HEALTHNET
—
01
—
4116261
AETNA
—
01
—
5710574
GHI
—
01
—
81557
AMERIGROUP
—
01
—
ES229
OXFORD
—
Enumeration date
10/03/2005
Last updated
12/09/2013
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