Individual
DR. JEFFREY BRUCE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 ROUTE 23 STE 120, WAYNE, NJ 07470-7520
(973) 305-1400
Mailing address
1680 ROUTE 23 STE 120, WAYNE, NJ 07470-7520
(973) 305-1400
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
239180
NY
Other
Enumeration date
05/15/2007
Last updated
07/22/2014
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