Provider Demographics
NPI:1306356365
Name:WEHBEH, KARAM (APN)
Entity Type:Individual
Prefix:
First Name:KARAM
Middle Name:
Last Name:WEHBEH
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-2105
Mailing Address - Country:US
Mailing Address - Phone:973-742-1761
Mailing Address - Fax:973-742-2033
Practice Address - Street 1:414 BROADWAY
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-2105
Practice Address - Country:US
Practice Address - Phone:973-742-1761
Practice Address - Fax:973-742-2033
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00764900363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care