Individual
ALAN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST, SUITE 6140, NEW BRUNSWICK, NJ 08901-1962
(732) 235-8560
(732) 235-8766
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07666800
NJ
208M00000X
Hospitalist Physician
Primary
25MA07666800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164046
—
NJ
01
—
223442277
TAX ID #
NJ
Enumeration date
06/15/2006
Last updated
03/17/2017
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