Provider Demographics
NPI:1942654934
Name:WOHLGEMUTH, ZACHARY P (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:P
Last Name:WOHLGEMUTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10510 JEFFERSON AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3102
Mailing Address - Country:US
Mailing Address - Phone:757-594-4720
Mailing Address - Fax:757-594-3184
Practice Address - Street 1:10510 JEFFERSON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3102
Practice Address - Country:US
Practice Address - Phone:757-594-4720
Practice Address - Fax:757-594-3184
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-16
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2002-02487207V00000X
VA0101268716207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology