MARVIN WISCH PA

FAIR LAWN, NJ
NPI1003146994
Entity TypeOrganization
Authorized ContactMARVIN WISCH
Owner
201-796-3171
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  MB14606)
Enumeration Date2009-12-28
Last Update Date2009-12-28
Business Address
MARVIN WISCH PA
28-09 FAIR LAWN AVE
FAIR LAWN, NJ 07410-3410
Phone number: 201-796-3171
Mailing Address
MARVIN WISCH PA
28-09 FAIR LAWN AVE
FAIR LAWN, NJ 07410-3410
Phone number: 201-796-3171
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