Individual
ROBERT J WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
183910
NY
207P00000X
Emergency Medicine Physician
Primary
9894
NH
207P00000X
Emergency Medicine Physician
DO3702
ME
207Q00000X
Family Medicine Physician
9894
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA25502
HARVARD PILGRIM
NH
Enumeration date
01/25/2007
Last updated
12/01/2023
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