Wise, Richard B

Wise, Richard B is an sole proprietor health care provider with primary practice located at 54 West Jimmie Leeds Rd Unit 15, Galloway NJ 08205-9401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wise, Richard B can be contacted via phone (609) 652-1010.

Contact Information

Primary practice address
54 West Jimmie Leeds Rd Unit 15 Galloway NJ 08205-9401
Phone: (609) 652-1010
Fax: (609) 652-7759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA72455 New Jersey

Profile Details

NPI number 1619971520
LBN Legal business name Wise, Richard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Jan 3rd, 2008 - 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 1619971520 NPPES
New Jersey Other 60000622 HORIZON MERCY
New Jersey MEDICAID 8640408 HORIZON MERCY
New Jersey Other 2398350000 HORIZON MERCY
New Jersey Other 3840133 HORIZON MERCY

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