Individual
DR. PAUL H WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 MAPLE AVENUE, NETCONG, NJ 07857
(973) 347-4121
(973) 347-1545
Mailing address
39 MAPLE AVENUE, NETCONG, NJ 07857
(973) 347-4121
(973) 347-1545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA039719
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1917102
—
NJ
Enumeration date
01/17/2007
Last updated
09/29/2010
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