Organization
NEW BRUNSWICK PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD ERNEST WIENER MD (VICE PRESIDENT)
(732) 247-1510
Entity
Organization
Contact information
Practice address
1300 HOW LN, NORTH BRUNSWICK, NJ 08902-1721
(732) 247-1510
(732) 247-8885
Mailing address
PO BOX 6017, 1300 HOW LANE, NORTH BRUNSWICK, NJ 08902-6017
(732) 247-1510
(732) 247-8885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2645009
—
NJ
Enumeration date
07/28/2005
Last updated
07/21/2022
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