Laurence Wynn, MD, MPH is a
General Practice physician based in Kearny, New Jersey. Laurence Wynn is licensed to practice in New Jersey (license number 25MA04463500) and his current practice location is 35 Hackensack Ave, Kearny, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 491-5525.
NPI number for Laurence Wynn is 1962623389 and his current mailing address is 82 Wedgewood Dr, Montville, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962623389.
Physician's Profile
| Full Name | Laurence Wynn |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 35 Hackensack Ave, Kearny, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962623389
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Laurence Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962623389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 25MA04463500 (New Jersey) | Primary |
| 208D00000X | General Practice | 25MA04463500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laurence Wynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Laurence Wynn, MD, MPH
82 Wedgewood Dr,
Montville, NJ 07045-9044
Ph: (973) 263-5336 | Laurence Wynn, MD, MPH
35 Hackensack Ave,
Kearny, NJ 07032-4635
Ph: (973) 491-5525 |
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