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Jeffrey B. Wise, M.d., L.l.c.
Medical Specialty Clinic/Center in Wayne, New Jersey
NPI 1124216718

Jeffrey B. Wise, M.d., L.l.c. is a Medical Specialty Clinic/Center based in Wayne, NJ and is specialized in Medical Specialty. Jeffrey B. Wise, M.d., L.l.c. practices in Wayne, NJ. The NPI Number for Jeffrey B. Wise, M.d., L.l.c. is 1124216718 and holds a License No. 25M08257300 (New Jersey).

The current practice location address for Jeffrey B. Wise, M.d., L.l.c. is 1680 Route 23, Wayne, NJ and can be reached out via phone at 973-305-1400 and via fax at 973-694-5580.

Location: 1680 Route 23, Wayne, NJ, 07470-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124216718
Provider Name
Jeffrey B. Wise, M.d., L.l.c.
Credential
Provider Entity Type
Organization
Address
1680 Route 23, Wayne, NJ, 07470-7501
Phone Number
973-305-1400
Fax Number
973-694-5580
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1680 Route 23
City
Wayne
State
New Jersey
Zip
07470-7501
Phone Number
973-305-1400
Fax Number
973-694-5580
person
Provider Business Mailing Address Details
Address
1680 Route 23
City
Wayne
State
New Jersey
Zip
07470-7501
Phone Number
973-305-1400
Fax Number
973-694-5580
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25M08257300 (New Jersey)
Definition
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).
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