Jeffrey S Wisch is a Specialist in Newton, Massachusetts. Jeffrey S Wisch practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeffrey S Wisch is 1871560664. The last update date is 2009-10-05.
Jeffrey S Wisch's current location address is 2014 Washington St, Newton, Massachusetts. You can contact this provider via phone number 6176586000 and fax number 6176586001. The mailing address for Jeffrey S Wisch is 2014 Washington St, Newton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey S Wisch |
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Address | 2014 Washington St, Newton, Massachusetts |
Phone Number | 6176586000 |
Fax Number | 6176586001 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1871560664 |
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Provider Enumeration Date | 2006-03-01 |
Last Updated Date | 2009-10-05 |
Provider Mailing Address Detail
Address | 2014 Washington St |
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City | Newton |
State | Massachusetts (MA) |
Post Code | 24621607 |
Phone Number | 6176586000 |
Fax Number | 6176586001 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 45726 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
162973 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey S Wisch by the Centers for Medicare & Medicaid Services?
The Jeffrey S Wisch has been issued the NPI (National Provider Identifier) 1871560664. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey S Wisch?
The Jeffrey S Wisch is situated at 2014 Washington St, in the city of Newton, state of MA, with the zip code 24621607.
What is the Jeffrey S Wisch's specialty and taxonomy code?
The Jeffrey S Wisch's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871560664 to Jeffrey S Wisch?
The Jeffrey S Wisch received its 1871560664 assignment from the Centers for Medicare & Medicaid Services on 2006-03-01.
When was the Jeffrey S Wisch's information last updated?
The Jeffrey S Wisch's information was last updated on 2009-10-05.