| Marvin Wisch Pa | |
|
28-09 Fair Lawn Ave Fair Lawn NJ 07410-3410 | |
| (201) 796-3171 | |
| (201) 796-8022 |
| Full Name | Marvin Wisch Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 28-09 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Marvin Wisch (OWNER) |
| Authorized Official Contact | 2017963171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Wisch Pa 28-09 Fair Lawn Ave Fair Lawn NJ 07410-3410 Ph: (201) 796-3171 | Marvin Wisch Pa 28-09 Fair Lawn Ave Fair Lawn NJ 07410-3410 Ph: (201) 796-3171 |
| NPI Number | 1003146994 |
|---|---|
| Provider Enumeration Date | 12/28/2009 |
| Last Update Date | 12/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003146994 | NPI | - | NPPES |
| 4697707 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB14606 (New Jersey) | Primary |
North Jersey Diabetes & Endocrinology, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24-07 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-4600 Fax: 201-796-4666 | |
Bergen Endocrinology, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12-04 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-773-8710 Fax: 201-773-8711 | |
Imedical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-01 Broadway, Suite 32, Fair Lawn, NJ 07410 Phone: 201-791-6434 Fax: 201-791-6446 | |
Primary Care Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20-19 Fair Lawn Ave, Fair Lawn, NJ 07140 Phone: 201-797-2003 | |
Balance And Memory Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14-23 River Rd, Fair Lawn, NJ 07410 Phone: 201-703-0600 | |
Primary Care Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20-19 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-797-2003 Fax: 201-797-7003 |