# JEFFREY B. WISE, M.D., L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124216718
- **Authorized official:** DR. JEFFREY BRUCE WISE M.D. (MANAGING MEMBER)
- **Authorized official phone:** (973) 305-1400

## Contact information

- **Practice address:** 1680 ROUTE 23, SUITE 100, WAYNE, NJ 07470-7501
- **Practice address phone:** (973) 305-1400
- **Practice address fax:** (973) 694-5580
- **Mailing address:** 1680 ROUTE 23, SUITE 100, WAYNE, NJ 07470-7501
- **Mailing address phone:** (973) 305-1400
- **Mailing address fax:** (973) 694-5580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25M08257300 | NJ | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007