Organization · Type 2 NPI

Jeffrey B. Wise, M.d., L.l.c.

Medical Specialty Clinic/Center · Wayne, NJ

NPI number 1124216718 Active

Practice location

1680 Route 23, Suite 100
Wayne, NJ 07470-7501

Fax (973) 694-5580

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X25M08257300 (NJ)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

10 other providers at this address

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About NPI 1124216718

Jeffrey B. Wise, M.d., L.l.c.'s National Provider Identifier is 1124216718, issued on Oct 9, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Wayne, NJ. The record was last updated on Oct 9, 2007.