Organization
GLEN P WAINEN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN P WAINEN MD (OWNER)
(908) 813-9700
Entity
Organization
Contact information
Practice address
57 US HIGHWAY 46, STE 107, HACKETTSTOWN, NJ 07840-2695
(908) 813-9700
(908) 813-0033
Mailing address
57 US HIGHWAY 46, STE 107, HACKETTSTOWN, NJ 07840-2695
(908) 813-9700
(908) 813-0033
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA60125
NJ
Other
Enumeration date
05/14/2012
Last updated
01/25/2013
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