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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURENCE WYNN, MD, MPH.

Active Sole Proprietor

Public Health & General Preventive Medicine · KEARNY, NJ

Registration Details

NPI Number
1962623389
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2007 (18.972730035684 yrs)
Last Updated
Sep 11, 2025
Licenses
25MA04463500 (NJ)
25MA04463500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
35 HACKENSACK AVE
KEARNY, NJ, 070324635
Browse NJ providers · Browse ZIP 07032
Phone
9734915525
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.