Wertenteil, Mark E

Wertenteil, Mark E is an individual health care provider with primary practice located at 20-20 Fair Lawn Ave 2Nd Floor, Fair Lawn NJ 07410-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wertenteil, Mark E can be contacted via phone (201) 703-0202.

Contact Information

Primary practice address
20-20 Fair Lawn Ave 2Nd Floor Fair Lawn NJ 07410-2319
Phone: (201) 703-0202
Fax: (201) 703-1231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64782 New Jersey

Profile Details

NPI number 1922067180
LBN Legal business name Wertenteil, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 23rd, 2014 - about 10 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 1922067180 NPPES
Other P626640 OXFORD
Other 1750922 OXFORD
MEDICAID 7372604 OXFORD
Other 5240557 OXFORD
Other 0464052000 OXFORD

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