Russell Wien

NPI #1609319680 in Passaic, New Jersey

Provider Information

NPI Number: 1609319680
Entity Type: Individual
Name: Russell Wien
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 23, 2016
Last Updated: Nov 23, 2016

Practice Location

Address: 128 BOULEVARD APT 14
City: Passaic
State: New Jersey
ZIP Code: 07055-4769
Phone: (973) 916-9996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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