Provider Demographics
NPI:1184177602
Name:WEHBE SALOUKHAN, CRISTIN (MD)
Entity type:Individual
Prefix:DR
First Name:CRISTIN
Middle Name:
Last Name:WEHBE SALOUKHAN
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 1:88 CLIFTON PL APT 411
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-6196
Mailing Address - Country:US
Mailing Address - Phone:786-616-9882
Mailing Address - Fax:
Practice Address - Street 1:88 CLIFTON PL
Practice Address - Street 2:UNIT 411
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-6196
Practice Address - Country:US
Practice Address - Phone:786-616-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ39000000X207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology