NPI 1003653882

Harry S Vanwagenen, PAC

Practitioner Neurology Physician Livingston, NJ

Practice location

Address: 94 Old Short Hills Rd, Livingston, NJ 07039-5672
Phone: (973) 322-5000
Mailing address: 811 Bradley Rd, Point Pleasant Boro, NJ 08742-2324

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 25MP00860600 (NJ)

Other Psychiatry & Neurology providers in New Jersey →

Registry record

NPI: 1003653882
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2024
Record last updated: 10 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.