Wiedermann, Joseph G
Wiedermann, Joseph G is an individual health care provider with primary practice located at 310 Riverside Dr Apt 310 , New York NY 10025-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wiedermann, Joseph G can be contacted via phone (917) 940-4076.Contact Information
Primary practice address
310 Riverside Dr Apt 310
New York NY 10025-4116
Phone: (917) 940-4076
Fax: (212) 662-0375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA06221700 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MTL-2017-072 | Guam |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 25MA06221700 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M-2082 | Guam |
Profile Details
| NPI number | 1952334542 |
|---|---|
| LBN Legal business name | Wiedermann, Joseph G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Dec 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952334542 | NPPES |
| Guam | MEDICAID | H110329 | |
| Guam | MEDICAID | 01177233 | |
| Guam | MEDICAID | 6589502 |
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