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NPI Code Detail

MEDICARE: DR. WENDY WARREN M.D.

MEDICARE: DR. WENDY WARREN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VM0101XMaternal & Fetal Medicine Physician25MA06370100NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3160059361OTHERNJRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10052876000OTHERNJAMERIHEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48Q3351OTHERNJEMPIRE BC/BS OF NY ID #
52K2135OTHERNJHEALTHNET ID #
6P2039666OTHERNJOXFORD ID #

General Provider Information

NPI Number : 1992707293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY WARREN M.D.
Provider Business Mailing Address
First Line : 94 OLD SHORT HILLS RD
Second Line : EAST WING, SUITE 402
City : LIVINGSTON
State : NJ
Zip : 07039-5672
Country : US
Telephone Number : 973-322-5287
Fax Number : 973-322-2309
Provider Business Practice Location Address
First Line : 94 OLD SHORT HILLS RD
Second Line : STE 402
City : LIVINGSTON
State : NJ
Zip : 07039-5672
Country : US
Telephone Number : 973-322-5287
Fax Number : 973-322-2309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/10/2014

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