Agile Infusion Medicine PC
NPI #1972382018 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1972382018
- Entity Type
- Organization
- Organization Name
- Agile Infusion Medicine PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 27, 2023
- Last Updated
- Dec 6, 2023
Practice Location
- Address
- 5 SUMMIT AVE STE 204
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1271
- Phone
- (201) 751-2202
Authorized Official
- Name
- DR. JONATHAN WIESEN, MD
- Title
- OWNER
- Phone
- (631) 759-9866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Clinic/Center - Primary Care — Primary Care |
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