Individual
PAUL WANGENHEIM
Active
Individual
PAUL WANGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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