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Contact Information

MARK WACIEGA, MD
901 W MAIN ST
CENTRASTATE MEDICAL CENTER
FREEHOLD TOWNSHIP, NJ07728-2537
 Phone: 732-294-2666
 Fax: 732-431-8267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK WACIEGA · (Male)

NPI Number 1346295482
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA04817600
  • NJ Medicaid 5477701
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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