Wien, Frederic Elliot
Wien, Frederic Elliot is an sole proprietor health care provider with primary practice located at 680 Broadway Ste 114 , Paterson NJ 07514-1526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Wien, Frederic Elliot can be contacted via phone (973) 742-2228.Contact Information
Primary practice address
680 Broadway Ste 114
Paterson NJ 07514-1526
Phone: (973) 742-2228
Fax: (973) 742-2297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | NJ36940 | New Jersey |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 140230 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA03694000 | New Jersey |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | NJ36940 | New Jersey |
Profile Details
| NPI number | 1639141054 |
|---|---|
| LBN Legal business name | Wien, Frederic Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Nov 23rd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639141054 | NPPES |
| New Jersey | MEDICAID | 0989207 |
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