Matthew L. Wiese
M.D. | Pediatric Emergency Medicine | Male
Matthew L. Wiese, M.D. is a Buffalo, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Matthew L. Wiese is
1001 Main St Fl 5, Buffalo, New York - 14203-1009. He can be contacted on phone at
716-323-0220 and fax number 716-323-0293.
Matthew L. Wiese is a sole proprietor of his business.
NPI number (Unique professional ID) for Matthew L. Wiese is
1316333446 which was assigned by NPPES on 15 Apr, 2015 and it was last updated on 20 Feb, 2023.
Matthew L. Wiese license number is
298763 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in New York.
Matthew L. Wiese has special qualifications to manage emergencies in infants and children.
Complete Profile:
Matthew L. Wiese basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | Matthew L. Wiese |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Matthew L. Wiese 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 : | 1001 Main St Fl 5
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0220 |
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| Fax Number : | 716-323-0293 |
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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 : | 1316333446 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Apr, 2015 |
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| Last Updated On : | 20 Feb, 2023 |
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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 Matthew L. Wiese are as mentioned. Primary taxonomy code for Matthew L. Wiese, M.D. is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | 298763 | NY |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | No | 274395 | MA |
| 208000000X | Pediatrics | No | 274395 | MA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | 298763 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Matthew L. Wiese such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 06949971 | MEDICAID | NY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1540 MAPLE RD,
WILLIAMSVILLE, NY, 14221-3647
United States | WILLIAMSVILLE, NY | 716-323-0200 |
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 : | 818 Ellicott St
Buffalo, NY, 14203-1021
United States |
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| Phone Number : | 716-323-2000 |
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| Fax Number : | 716-323-0293 |
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Business Location:
Patients can refer following map for directions to
Matthew L. Wiese practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.