Jonathan T Wiseman in Riverside - Family Medicine
Jonathan T Wiseman - NPI 1063548154
Jonathan T Wiseman is a Family Medicine in Riverside, New Jersey. Jonathan T Wiseman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathan T Wiseman is 1063548154. The last update date is 2015-03-02.
Jonathan T Wiseman's current location address is 129 Bridgeboro St, Riverside, New Jersey. You can contact this provider via phone number 8564610766 and fax number 8564617095. The mailing address for Jonathan T Wiseman is 129 Bridgeboro St, Riverside, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan T Wiseman |
|---|---|
| Address | 129 Bridgeboro St, Riverside, New Jersey |
| Phone Number | 8564610766 |
| Fax Number | 8564617095 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1063548154 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2015-03-02 |
Provider Mailing Address Detail
| Address | 129 Bridgeboro St |
|---|---|
| City | Riverside |
| State | New Jersey (NJ) |
| Post Code | 80753201 |
| Phone Number | 8564610766 |
| Fax Number | 8564617095 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25MB07242800 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2688905 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jonathan T Wiseman by the Centers for Medicare & Medicaid Services?
The Jonathan T Wiseman has been issued the NPI (National Provider Identifier) 1063548154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jonathan T Wiseman is physically located?
The Jonathan T Wiseman is situated at the following address: 129 Bridgeboro St, Riverside, NJ 80753201.
What is Jonathan T Wiseman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jonathan T Wiseman is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Jonathan T Wiseman receive its 1063548154 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan T Wiseman was assigned its 1063548154 by the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the Jonathan T Wiseman's information last updated?
The Jonathan T Wiseman's information was last updated on 2015-03-02.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL