Wagle, Kamal C

Wagle, Kamal C is an individual health care provider with primary practice located at 360 Essex St Ste 303 , Hackensack NJ 07601-8566. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Wagle, Kamal C can be contacted via phone (551) 996-8100.

Contact Information

Primary practice address
360 Essex St Ste 303 Hackensack NJ 07601-8566
Phone: (551) 996-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01075433A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N9976 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X N9976 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01075433A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 25MA11879900 New Jersey

Profile Details

NPI number 1013249838
LBN Legal business name Wagle, Kamal C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2010
Last updated Apr 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013249838 NPPES
Indiana MEDICAID 201291250

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