Wien, Frederic Elliot

Wien, Frederic Elliot is an sole proprietor health care provider with primary practice located at 680 Broadway Ste 114 , Paterson NJ 07514-1526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Wien, Frederic Elliot can be contacted via phone (973) 742-2228.

Contact Information

Primary practice address
680 Broadway Ste 114 Paterson NJ 07514-1526
Phone: (973) 742-2228
Fax: (973) 742-2297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NJ36940 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 140230 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA03694000 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X NJ36940 New Jersey

Profile Details

NPI number 1639141054
LBN Legal business name Wien, Frederic Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Nov 23rd, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639141054 NPPES
New Jersey MEDICAID 0989207

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