Individual
PETER WISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 E 87TH ST, 1E, NEW YORK, NY 10128-1043
(212) 369-6900
Mailing address
55 E 87TH ST, 1E, NEW YORK, NY 10128-1043
(212) 369-6900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1655511
NY
Other
Enumeration date
10/11/2005
Last updated
07/19/2011
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