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

MS. Elena L Wickstrom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003497470

MS. Elena L Wickstrom, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
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

185 S Orange Ave
Newark, NJ 07103-2757
Phone: (732) 445-4636
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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

Record details

NPI number1003497470
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2021
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

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