Individual
MARY WEGLARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
65 BERGEN ST, 8TH FLOOR, NEWARK, NJ 07107-3001
(201) 207-5057
Mailing address
357 GREEN MOUNTAIN RD, MAHWAH, NJ 07430-2723
(551) 206-2030
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN05170700
NJ
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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