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Dr. Jeffrey S Wisch, MD
Specialist in Newton, Massachusetts
NPI 1871560664

Jeffrey S Wisch is a Specialist based in Newton, MA. Jeffrey S Wisch practices in Newton, MA and has the professional credentials of MD. The NPI Number for Jeffrey S Wisch is 1871560664 and holds a License No. 45726 (Massachusetts).

The current practice location address for Jeffrey S Wisch is 2014 Washington St, Newton, MA and can be reached out via phone at 617-658-6000 and via fax at 617-658-6001.

Location: 2014 Washington St, Newton, MA, 02462-1607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871560664
Provider Name
Jeffrey S Wisch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2014 Washington St, Newton, MA, 02462-1607
Phone Number
617-658-6000
Fax Number
617-658-6001
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0162973 05 MA
institution
Provider Business Practice Location Address Details
Address
2014 Washington St
City
Newton
State
Massachusetts
Zip
02462-1607
Phone Number
617-658-6000
Fax Number
617-658-6001
person
Provider Business Mailing Address Details
Address
2014 Washington St
City
Newton
State
Massachusetts
Zip
02462-1607
Phone Number
617-658-6000
Fax Number
617-658-6001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
45726 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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