Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Connor Wirth, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740123793

Connor Wirth, MD is a Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NJ)

Record details

NPI number1740123793
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

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