Organization
MAGDY WAHBA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDY WAHBA MD (PHYSICIAN)
(917) 626-0877
Entity
Organization
Contact information
Practice address
401 HAMBURG TPKE STE 310, WAYNE, NJ 07470-2139
(973) 790-5300
Mailing address
PO BOX 665, RIDGEWOOD, NJ 07451-0665
(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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218502
—
NJ
01
—
439682
MEDICARE
NJ
Enumeration date
11/03/2016
Last updated
11/03/2016
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