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1912943440 NPI number — WISDA EYE CENTER PC

NPI Number: 1912943440
Health Care Provider/Practitioner: WISDA EYE CENTER PC

Information about “1912943440” NPI (WISDA EYE CENTER PC) exists in 1912943440 in HTML format HTML  |  1912943440 in plain Text format TXT  |  1912943440 in PDF (Portable Document Format) PDF  |  1912943440 in an XML format XML  formats.

NPI Number : 1912943440 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912943440",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WISDA EYE CENTER PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1318 S MAIN RD",
    "SecondLineMailingAddress": "BLDG. 2A",
    "MailingAddressCityName": "VINELAND",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08360-6516",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-692-8008",
    "MailingAddressFaxNumber": "856-692-8044",
    "FirstLinePracticeLocationAddress": "1318 S MAIN RD",
    "SecondLinePracticeLocationAddress": "BLDG. 2A",
    "PracticeLocationAddressCityName": "VINELAND",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08360-6516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-692-8008",
    "PracticeLocationAddressFaxNumber": "856-692-8044",
    "EnumerationDate": "06/22/2006",
    "LastUpdateDate": "08/23/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LOGAN",
    "AuthorizedOfficialFirstName": "JOANNE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "856-692-8008",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "25MA05025100",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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