- Practice location
- 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410-3410
- Phone
- 201-796-3171
- Fax
- 201-796-8022
- Last updated
- December 28, 2009
Marvin Wisch PA is a healthcare organization based in Fair Lawn, NJ. Marvin Wisch PA practices in Fair Lawn, NJ. The NPI Number for Marvin Wisch PA is 1003146994 and holds a License No. MB14606 (NJ). The current practice location address for Marvin Wisch PA is 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410-3410 and can be reached out via phone at 201-796-3171 and via fax at 201-796-8022.
Provider Profile Details
- NPI Number
- 1003146994
- Provider Name
- Marvin Wisch PA
- Provider Entity Type
- Organization
- Address
- 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410-3410
- Phone Number
- 201-796-3171
- Fax Number
- 201-796-8022
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Marvin Wisch, DO · Owner · 201-796-3171
- Provider Enumeration Date
- December 28, 2009
- Last Update Date
- December 28, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28-09 Fair Lawn Ave
Fair Lawn, NJ 07410-3410 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3410
- Phone Number
- 201-796-3171
- Fax Number
- 201-796-8022
Provider Business Mailing Address Details
- Address
- 28-09 Fair Lawn Ave
Fair Lawn, NJ 07410-3410 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3410
- Phone Number
- 201-796-3171
- Fax Number
- 201-796-8022
License Information
- License Number
- MB14606
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marvin Wisch PA?
The NPI number of Marvin Wisch PA is 1003146994. It was assigned on December 28, 2009 and is currently active in the NPPES registry.
What is the specialty of Marvin Wisch PA?
Marvin Wisch PA is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MB14606.
Where does Marvin Wisch PA practice?
The practice location is 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410-3410. The office can be reached at 201-796-3171 (phone) or 201-796-8022 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003146994 directly on the NPPES registry website.