Wengerter, Kurt Richard

Wengerter, Kurt Richard is an individual health care provider with primary practice located at 25 Rockwood Pl Suite 330, Englewood NJ 07631-4957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wengerter, Kurt Richard can be contacted via phone (201) 408-5195.

Contact Information

Primary practice address
25 Rockwood Pl Suite 330 Englewood NJ 07631-4957
Phone: (201) 408-5195
Fax: (201) 408-2485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA06395000 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA06395000 New Jersey

Profile Details

NPI number 1265491880
LBN Legal business name Wengerter, Kurt Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265491880 NPPES
New Jersey Other 020034631 RAILROAD MEDICARE ID #
New Jersey MEDICAID 01026099 RAILROAD MEDICARE ID #
New Jersey MEDICAID 6984100 RAILROAD MEDICARE ID #

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