Individual
DR. JACLYN FAYE WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
75 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4532
(973) 436-1540
(973) 533-0197
Mailing address
75 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4532
(973) 436-1540
(973) 533-0197
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08748900
NJ
Other
Enumeration date
05/04/2010
Last updated
07/22/2019
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