Organization
MONTVILLE PARK PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAGIH WASSEF M.D. (PRESIDENT)
(973) 263-9900
Entity
Organization
Contact information
Practice address
150 RIVER RD, SUITE N1, MONTVILLE, NJ 07045-9441
(973) 263-9900
Mailing address
150 RIVER RD, SUITE N1, MONTVILLE, NJ 07045-9441
(973) 263-9900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA061582
NJ
208000000X
Pediatrics Physician
MA081421
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6806104
—
NJ
Enumeration date
04/08/2008
Last updated
04/08/2008
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