Wiener, Michael I

Wiener, Michael I is an individual health care provider with primary practice located at 299 Market St , Saddle Brook NJ 07663-5316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiener, Michael I can be contacted via phone (201) 368-1717.

Contact Information

Primary practice address
299 Market St Saddle Brook NJ 07663-5316
Fax: (201) 368-9618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AW8163812 New Jersey

Profile Details

NPI number 1922091370
LBN Legal business name Wiener, Michael I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 13th, 2007 - about 17 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 1922091370 NPPES
New Jersey MEDICAID 1569309

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