Individual
DR. WENDY GAYLE NACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
15-01 BROADWAY, 30C, FAIR LAWN, NJ 07410-6003
(201) 794-6656
(201) 794-7642
Mailing address
15-01 BROADWAY, 30C, FAIR LAWN, NJ 07410-6003
(201) 794-6656
(201) 794-7642
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MD001827
NJ
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00182700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114531000
AMERIHEALTH
NJ
01
—
1093105
HORIZONNJHEALTH
NJ
05
—
4619404
—
NJ
01
—
F13733
HEALTH NET
NJ
Enumeration date
07/16/2006
Last updated
02/05/2008
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