Dr. Gloria Diana Wiseman
M.D. | Pediatric Neonatal-Perinatal Medicine | Female
Dr. Gloria Diana Wiseman, M.D. is a New York, New York based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Gloria Diana Wiseman is
570 Fort Washington Ave, New York, New York - 10033-2054. She can be contacted on phone at
212-795-3293 and fax number 212-795-3164.
Dr. Gloria Diana Wiseman is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Gloria Diana Wiseman is
1821162801 which was assigned by NPPES on 20 Nov, 2006 and it was last updated on 08 Jul, 2007.
Dr. Gloria Diana Wiseman license number is
151187 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in New York.
Dr. Gloria Diana Wiseman is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Gloria Diana Wiseman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Gloria Diana Wiseman |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Gloria Diana Wiseman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 570 Fort Washington Ave
New York, NY, 10033-2054
United States |
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| Phone Number : | 212-795-3293 |
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| Fax Number : | 212-795-3164 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821162801 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Nov, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gloria Diana Wiseman are as mentioned. Primary taxonomy code for Dr. Gloria Diana Wiseman, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | MA47936 | NJ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 151187 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gloria Diana Wiseman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 5114900 | MEDICAID | NJ | |
| 00848417 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 69 Edgemont Place
Teaneck, NJ, 07666-4605
United States |
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| Phone Number : | 201-837-9918 |
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| Fax Number : | 201-837-9936 |
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Business Location:
Patients can refer following map for directions to
Dr. Gloria Diana Wiseman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.