DR. Virginia L Maher Wiese, MD

NPI #1396700217 in Essex, Connecticut

Provider Information

NPI Number: 1396700217
Entity Type: Individual
Name: DR. Virginia L Maher Wiese, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Apr 20, 2006
Last Updated: May 4, 2012

Practice Location

Address: 20 SAYBROOK ROAD
City: Essex
State: Connecticut
ZIP Code: 06426-1401
Phone: (860) 767-9998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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