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Contact Information

DANA WIGHTMAN, PA-C
65 W JIMMIE LEEDS RD
POMONA, NJ08240
 Phone: 609-441-8146
 Fax: 609-441-8002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DANA WIGHTMAN · (Female)

NPI Number 1053794115
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/07/2015
Last updated 09/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA 9108751
  • FL License # PA9108751
  • NJ License # 25MP00475400
Hospital affiliation(s)
  • ATLANTICARE REGIONAL MEDICAL CENTER - CITY DIV - (Acute Care)
    1925 PACIFIC AVE
    ATLANTIC CITY, NJ 08401
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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