Individual
DR. MITCHELL WANGSGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-8945
(973) 322-2471
Mailing address
94 OLD SHORT HILLS RD, DEPT OF RADIOLOGY, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101271478
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
03/14/2022
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