Individual
DR. MARC STUART WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
64 RIDGE ROAD, NORTH ARLINGTON, NJ 07031-6318
(201) 991-2211
(201) 991-1120
Mailing address
64 RIDGE ROAD, NORTH ARLINGTON, NJ 07031-6318
(201) 991-2211
(201) 991-1120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4369
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2931001
MEDICAID CORP
NJ
05
—
6323103
—
NJ
Enumeration date
12/12/2006
Last updated
07/08/2007
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