Most Relevant Information
Provider Data
| NPI Number: | 1003259532 |
| Provider Name: | SEAN PATRICK WENGERTER MD, RPVI |
| Entity Type: | Individual |
| Taxonomy Code: | 2086S0129X |
| Specialty: | Surgery |
| License Number: | 25MA10255100 |
Most Important Dates
| Enumeration Date: | 04/15/2013 |
| Last Updated: | 06/26/2018 |
Provider Practice Location
5A MEDICAL PARK DR
POMONA
NY
10970
Practice Location Phone/Fax
| Phone: | 8453620075 |
| Fax: |
Provider Mailing Location
5A MEDICAL PARK DR
POMONA
NY
109703516
Provider Mailing Phone/Fax
| Phone: | 8453620075 |
| Fax: |