Organization
ANN WRY,MD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN M WRY MD (OWNER)
(201) 368-0201
Entity
Organization
Contact information
Practice address
114 ESSEX ST, ROCHELLE PARK, NJ 07662-4335
(201) 368-0201
(201) 368-0346
Mailing address
114 ESSEX ST, ROCHELLE PARK, NJ 07662-4335
(201) 368-0201
(201) 368-0346
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA06650300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159767
MEDICARE PTAN
NJ
Enumeration date
05/15/2009
Last updated
12/23/2009
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