OrganizationActive
Jeffrey B. Wise, M.D., L.L.C.
NPI 1124216718 · Medical Specialty Clinic/Center · Wayne, NJ
Provider details
- NPI number
- 1124216718
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Wise, Managing Member(973) 305-1400
- License
- 25M08257300 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1680 Route 23
Suite 100
Wayne, NJ 07470-7501
Phone: (973) 305-1400
Fax: (973) 694-5580
Approximate (ZIP-level) locationGet directions
Mailing address
1680 Route 23
Wayne, NJ 07470-7501
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2007-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.