Doctor Name: | DAVID E WEXLER |
NPI Number: | 1386637254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD FACG |
License Number: | MA039198 |
Business Practice Address: | 727 Raritan Rd Suite 101 Clark, NJ - 070662229 |
Business Phone Number: | 7324998000 |
Business Fax Number: | 7323969413 |
Mailing Address: | 727 Raritan Rd, Suite 101 CLARK |
State: | NJ |
Postal Code: | 070662229 |
Phone Number: | 7324998000 |
Fax Number: | 7323969413 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/31/2006 |
NPI Reactivation Date: | 11/07/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA039198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |