Individual
DR. PETER J WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 267-1274
(973) 267-2912
Mailing address
10 LANIDEX PLZ W, SUITE 125, PARSIPPANY, NJ 07054-2715
(973) 267-1274
(973) 267-2912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07745800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602401
—
NJ
Enumeration date
10/13/2006
Last updated
12/01/2016
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