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Contact Information

KURT R WENGERTER, MD
25 ROCKWOOD PLACE
SUITE #330
ENGLEWOOD, NJ07631
 Phone: 201-408-5195
 Fax: 201-408-2485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KURT R WENGERTER · (Male)

NPI Number 1265491880
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2006
Last updated 03/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06395000
  • NJ Medicaid 6984100
  • NY Medicaid 01026099
  • NJ Other 020034631 RAILROAD MEDICARE ID #
Hospital affiliation(s)
  • ENGLEWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 ENGLE ST
    ENGLEWOOD, NJ 07631
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
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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