Individual
MORDECAI WERTHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
321 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(646) 251-1112
Mailing address
1275 15TH ST, APT 17 E, FORT LEE, NJ 07024-1950
(646) 251-1112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156339-1
NY
207R00000X
Internal Medicine Physician
Primary
25MA04466800
NJ
Other
Enumeration date
04/02/2007
Last updated
12/25/2012
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