Individual
DR. JENNIFER L WIEDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
(201) 447-8491
Mailing address
320 W 87TH ST, APT. 1RE, NEW YORK, NY 10024-2617
(212) 769-8985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07803000
NJ
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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