Individual
JOHN C WIRTH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 BROADWAY, SUITE 901, NEW YORK, NY 10007-3001
(212) 393-9400
Mailing address
225 BROADWAY, SUITE 901, NEW YORK, NY 10007-3001
(212) 393-9400
(212) 393-9405
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
209892-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01810457
—
NY
Enumeration date
04/13/2006
Last updated
07/08/2007
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