Individual
SHARAD WAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 TEANECK RD, HOLYNAME NAME HOSPITAL, TEANECK, NJ 07666-4245
(201) 833-3291
(201) 541-5962
Mailing address
811 GOLF PL, ORADELL, NJ 07649-1215
(201) 262-6522
(201) 541-5962
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
MA031494
DC
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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