Provider Demographics
NPI:1619437902
Name:FROEYSTAD REINSTEIN, WENCHE IREN (MD)
Entity Type:Individual
Prefix:
First Name:WENCHE
Middle Name:IREN
Last Name:FROEYSTAD REINSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DOCTORS OFFICE CENTER, 90 BERGEN STREET
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-1709
Mailing Address - Country:US
Mailing Address - Phone:973-972-5209
Mailing Address - Fax:
Practice Address - Street 1:DOCTORS OFFICE CENTER, 90 BERGEN STREET
Practice Address - Street 2:SUITE 5200
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101-1709
Practice Address - Country:US
Practice Address - Phone:973-972-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program