Individual provider · Type 1 NPI

Adam Jason Wiesenthal, PA-C

Surgical Physician Assistant · Middletown, NY

NPI number 1972796696 Active

Practice location

707 E Main St
Middletown, NY 10940-2650

Call (845) 333-7575 Map

Fax (845) 333-3641

Other practice locations

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 · (845) 483-6217

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X012686 (NY)
Surgical Physician Assistant 363AS0400X002057 (CT)
Surgical Physician Assistant Primary 363AS0400X012686-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1972796696

Adam Jason Wiesenthal, PA-C's National Provider Identifier is 1972796696, issued on Aug 27, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NY. The record was last updated on Jun 6, 2022.