Individual
DR. DENISE LYNN WUNDERLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4251 US 9 STE B, FREEHOLD, NJ 07728-8304
(732) 683-1800
Mailing address
4251 US 9 STE B, FREEHOLD, NJ 07728-8304
(732) 683-1800
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB10009200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669695425
—
MO
01
—
431560263
TRICARE WEST
MO
01
—
P00817789
RAILROAD MEDICARE-SJC
—
Enumeration date
04/10/2007
Last updated
02/09/2021
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