IndividualActive
Jeffrey Wieder, MD
NPI 1760559264 · Pediatric Urology Physician · Berkeley, CA
Provider details
- NPI number
- 1760559264
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A71035 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2999 Regent St
#612
Berkeley, CA 94705-2146
Phone: (510) 848-1727
Fax: (510) 848-8224
Approximate (ZIP-level) locationGet directions
Mailing address
2999 Regent St
Berkeley, CA 94705-2146
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2008-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.