Organization
JONATHAN WIESEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WIESEN MD (OWNER)
(201) 564-4890
Entity
Organization
Contact information
Practice address
668 N FOREST DR, TEANECK, NJ 07666-2047
(201) 564-4890
Mailing address
1075 STEPHENSON AVE STE D2, OCEANPORT, NJ 07757-1242
(833) 223-2266
(732) 329-2322
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
08/07/2023
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