Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 25MA09394000 | NJ |
NPI | 1326373812 |
---|---|
Provider Name | Dr. Eric Geoffrey Wimmers |
First Address | Shrewsbury, NJ 07702-4224 |
Second Address | Shrewsbury, NJ 07702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2009 |
Last Update Date | 07/06/2018 |