Individual
JANETTE M WAHBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 RIDGE RD, LYNDHURST, NJ 07071-2739
(201) 935-5512
(201) 935-1914
Mailing address
525 RIDGE RD, LYNDHURST, NJ 07071-2739
(201) 935-5512
(201) 935-1914
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03093400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1879308
—
NJ
Enumeration date
03/27/2006
Last updated
02/17/2012
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