Healthcare Provider Details

I. General information

NPI: 1528035763
Provider Name (Legal Business Name): ROBERT EMMETT WEHMANN M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 REBEL RIDGE RD
SOUTH CHESTERFIELD VA
23834-5835
US

IV. Provider business mailing address

518 REBEL RIDGE RD
SOUTH CHESTERFIELD VA
23834-5835
US

V. Phone/Fax

Practice location:
  • Phone: 201-914-3479
  • Fax: 201-664-8705
Mailing address:
  • Phone: 201-914-3479
  • Fax: 201-664-8705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMA54166
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: