Individual
DR. MAGDY WAHBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 HAMBURG TPKE, SUITE 310, WAYNE, NJ 07470-2154
(973) 790-5300
(973) 790-0900
Mailing address
PO BOX 665, RIDGEWOOD, NJ 07451-0665
(973) 790-0900
(973) 790-0900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA03806500
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA03806500
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA03806500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218502
—
NJ
01
—
439682
MEDICARE
NJ
Enumeration date
06/23/2006
Last updated
11/03/2016
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