Individual
ERNEST WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1131 BROAD STREET, SUITE 110, SHREWSBURY, NJ 07702-4334
(732) 578-9640
(732) 578-9650
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 578-9640
(732) 578-9650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
55636
KY
2085R0202X
Diagnostic Radiology Physician
ME145013
FL
2085R0204X
Vascular & Interventional Radiology Physician
25MA08449300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176931
—
NJ
Enumeration date
08/08/2008
Last updated
02/14/2023
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