Individual
DR. FREDERIC ELLIOT WIEN
Active
Individual
DR. FREDERIC ELLIOT WIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NJ36940
NJ
207RG0100X
Gastroenterology Physician
140230
NY
207RG0100X
Gastroenterology Physician
Primary
25MA03694000
NJ
207RG0100X
Gastroenterology Physician
NJ36940
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0989207
—
NJ
Enumeration date
02/02/2006
Last updated
04/25/2025
Update your record
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