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Individual

DR. JOSEPH EDWARD WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-7104
Mailing address
9820 GEORGIA AVE APT 102, SILVER SPRING, MD 20902-5231
(301) 356-2188

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0065756
MD

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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