Wiederhorn, Noel

Wiederhorn, Noel is an individual health care provider with primary practice located at 43 Yawpo Ave , Oakland NJ 07436-2714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wiederhorn, Noel can be contacted via phone (201) 405-0500.

Contact Information

Primary practice address
43 Yawpo Ave Oakland NJ 07436-2714
Phone: (201) 405-0500
Fax: (201) 337-5585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA02569900 New Jersey

Profile Details

NPI number 1093716359
LBN Legal business name Wiederhorn, Noel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 18th, 2013 - about 12 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 1093716359 NPPES
New Jersey MEDICAID 1414801

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