Individual
STEPHEN M. WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 314-6900
(603) 314-6909
Mailing address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 314-6900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17094
NH
207RG0100X
Gastroenterology Physician
216277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029867
NEIGHBORHOOD HEALTH PLAN
—
01
—
100017308
RAILROAD MEDICARE
MA
05
—
110033133A
—
MA
01
—
1992700702
FALLON COMMUNITY HEALTH PLAN
MA
01
—
216277
TUFTS HEALTH PLAN
MA
01
—
29-00971
EVECARE
MA
01
—
30203516
NEW HAMPSHIRE MEDICAID
NV
01
—
305055
HARVARD PILGRIM HEALTHCAR
MA
01
—
3293619
AETNA NON HMO
MA
01
—
4438055
CIGNA
—
01
—
678864
HEALTHSOURCE
—
01
—
972177
NETWORK HEALTH
—
01
—
H77217
ANTHEM BLUE CROSS
NH
01
—
J25807
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/17/2005
Last updated
05/28/2020
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