Individual
MR. RICHARD O WANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5 REGENT ST STE 518, LIVINGSTON, NJ 07039-1682
(855) 436-7792
Mailing address
5 REGENT ST STE 518, LIVINGSTON, NJ 07039-1682
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14892700
NJ
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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