Individual
WILFREDO CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
318 CHRIS GAUPP DR, GALLOWAY, NJ 08205-4460
(609) 404-9900
(609) 404-3653
Mailing address
318 CHRIS GAUPP DR, GALLOWAY, NJ 08205-4460
(609) 404-9900
(609) 404-3653
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03522800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099969000
AMERIHEALTH
NJ
01
—
113835
AETNA
NJ
01
—
6521935005
CIGNA
NJ
01
—
P655280
OXFORD
NJ
Enumeration date
07/16/2006
Last updated
08/17/2010
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