Individual
DR. ORY WIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 218-8200
Mailing address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-7686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1561
ZZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
258659
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
291006
NY
Other
Enumeration date
07/17/2014
Last updated
09/05/2017
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