Mark Wiesen, M.D

NPI 1053367912 · on the registry since 2006

Practice

Address: 870 Palisade Ave
Suite 203
Teaneck, NJ 07666
Phone: (201) 836-5655
Organisation at this address: Gangaram Ragi
Advocare , Llc
David Weinstein
Robert Hirsch, Md
J.J. Fernandez, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 207RE0101X
207RE0101X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey