Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 25MA04610500 | NJ |
NPI | 1356475263 |
---|---|
Provider Name | Dr. Steven Nelson Wrigley |
First Address | Wall Township, NJ 07719-9157 |
Second Address | Toms River, NJ 08755-7339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E67424 | (02) | NJ |