Wieder, Robert

Wieder, Robert is an individual health care provider with primary practice located at 150 Bergen St D-Green, Newark NJ 07103-2496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wieder, Robert can be contacted via phone (973) 972-5108.

Contact Information

Primary practice address
150 Bergen St D-Green Newark NJ 07103-2496
Phone: (973) 972-5108
Fax: (973) 972-8390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MA06022600 New Jersey

Profile Details

NPI number 1073692208
LBN Legal business name Wieder, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073692208 NPPES
New Jersey MEDICAID 6074006

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