Wisch, Jeffrey S
Wisch, Jeffrey S is an individual health care provider with primary practice located at 2014 Washington St Vernon Cancer Center, Newton MA 02462-1607. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wisch, Jeffrey S can be contacted via phone (617) 658-6000.Contact Information
Primary practice address
2014 Washington St Vernon Cancer Center
Newton MA 02462-1607
Phone: (617) 658-6000
Fax: (617) 658-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 45726 | Massachusetts |
Profile Details
| NPI number | 1871560664 |
|---|---|
| LBN Legal business name | Wisch, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Oct 5th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871560664 | NPPES |
| Massachusetts | MEDICAID | 0162973 |
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