Jeffrey B. Wise, M.d., L.l.c.
NPI #1124216718 in Wayne, New Jersey
Provider Information
- NPI Number
- 1124216718
- Entity Type
- Organization
- Organization Name
- Jeffrey B. Wise, M.d., L.l.c.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 1680 ROUTE 23
- Address 2
- SUITE 100
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-7501
- Phone
- (973) 305-1400
Authorized Official
- Name
- DR. JEFFREY BRUCE WISE, M.D.
- Title
- MANAGING MEMBER
- Phone
- (973) 305-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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