| Diabetes, Endocrinology, Metabolism, Specialities, P.a. | |
|
870 Palisade Ave Teaneck NJ 07666-3419 | |
| (201) 836-5655 | |
| (201) 836-3571 |
| Full Name | Diabetes, Endocrinology, Metabolism, Specialities, P.a. |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 870 Palisade Ave, Teaneck, New Jersey |
| Authorized Official Name and Position | Mark Wiesen (PRESIDENT) |
| Authorized Official Contact | 2018365655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes, Endocrinology, Metabolism, Specialities, P.a. 870 Palisade Ave Teaneck NJ 07666-3419 Ph: (201) 836-5655 | Diabetes, Endocrinology, Metabolism, Specialities, P.a. 870 Palisade Ave Teaneck NJ 07666-3419 Ph: (201) 836-5655 |
| NPI Number | 1003956491 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003956491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MA39378 (New Jersey) | Primary |
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