Individual
ABRAHAM WENGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
142 PALISADE RD, SUITE 200, ELIZABETH, NJ 07208-1104
(201) 798-5551
(201) 798-1171
Mailing address
1341 NORTH AVE, APT 5-EF, ELIZABETH, NJ 07208-2622
(908) 820-0194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 23012185
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650501
—
NJ
Enumeration date
06/06/2006
Last updated
07/08/2007
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