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Organization
JEFFREY B. WISE, M.D., L.L.C.
Active
Organization
JEFFREY B. WISE, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BRUCE WISE M.D. (MANAGING MEMBER)
(973) 305-1400
Entity
Organization
Contact information
Practice address
1680 ROUTE 23, SUITE 100, WAYNE, NJ 07470-7501
(973) 305-1400
(973) 694-5580
Mailing address
1680 ROUTE 23, SUITE 100, WAYNE, NJ 07470-7501
(973) 305-1400
(973) 694-5580
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25M08257300
NJ
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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