Active NPIIndividual provider

Elizabeth Wiesner, MD

Pediatrics in Orange, Connecticut

NPI Number1760591515
Practice location
240 Indian River RD, Suite B-1, Orange, CT 06477-3649
Fax
203-799-1554
Last updated
January 17, 2014

Elizabeth Wiesner is a Pediatrics based in Orange, CT. Elizabeth Wiesner practices in Orange, CT and has the professional credentials of MD. The NPI Number for Elizabeth Wiesner is 1760591515 and holds a License No. 023395 (CT). The current practice location address for Elizabeth Wiesner is 240 Indian River RD, Suite B-1, Orange, CT 06477-3649 and can be reached out via phone at 203-795-4924 and via fax at 203-799-1554.

Provider Profile Details

NPI Number
1760591515
Provider Name
Elizabeth Wiesner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
240 Indian River RD, Suite B-1, Orange, CT 06477-3649
Phone Number
203-795-4924
Fax Number
203-799-1554
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2006
Last Update Date
January 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Indian River RD
Suite B-1
Orange, CT 06477-3649
City
Orange
Zip
06477-3649
Phone Number
203-795-4924
Fax Number
203-799-1554
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
240 Indian River RD
Suite B-1
Orange, CT 06477-3649
City
Orange
State
CT
Zip
06477-3649
Phone Number
203-795-4924
Fax Number
203-799-1554

License Information

License Number
023395
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Elizabeth Wiesner, MD?

The NPI number of Elizabeth Wiesner, MD is 1760591515. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Wiesner, MD?

Elizabeth Wiesner, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 023395.

Where does Elizabeth Wiesner, MD practice?

The practice location is 240 Indian River RD, Suite B-1, Orange, CT 06477-3649. The office can be reached at 203-795-4924 (phone) or 203-799-1554 (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 1760591515 directly on the NPPES registry website.

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