Provider Demographics
NPI:1528035763
Name:WEHMANN, ROBERT EMMETT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EMMETT
Last Name:WEHMANN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LANGERFELD RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-1008
Mailing Address - Country:US
Mailing Address - Phone:201-914-3479
Mailing Address - Fax:201-664-8705
Practice Address - Street 1:466 OLD HOOK RD STE 24D
Practice Address - Street 2:
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1368
Practice Address - Country:US
Practice Address - Phone:201-666-1400
Practice Address - Fax:201-664-8705
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA54166207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
727251Medicare ID - Type Unspecified
F30705Medicare UPIN