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1194799262
BRENT R WISE
NEW YORK, NY
NPI
1194799262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: NY 199091-1)
Enumeration Date
2006-02-15
Last Update Date
2014-03-18
Business Address
-- BRENT R WISE MD
314 E 30TH ST
NEW YORK, NY 10016-8303
Phone number: 212-858-9646
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Mailing Address
-- BRENT R WISE MD
PO BOX 194
NEW YORK, NY 10156-0194
Phone number: 212-858-9646
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