Dr MICHAEL I WIENER is a male medical professional, specializing in Family Medicine. He graduated in 1977 from Philadelphia College Of Osteopathic Medicine.
RIVERSIDE PEDIATRIC GROUP PC
299 MARKET ST
SUITE 110
SADDLE BROOK
NJ
076635321
Tel: 2013681717
| Npi | 1922091370 |
| Pac Id | 4183799943 |
| Professional Enrollment Id | I20100827000245 |
| Last Name | WIENER |
| First Name | MICHAEL |
| Middle Name | I |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | RIVERSIDE PEDIATRIC GROUP PC |
| Group Practice Pac Id | 3072650290 |
| Number Of Group Practice Members | 168 |
| Line 1 Street Address | 299 MARKET ST |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | SADDLE BROOK |
| State | NJ |
| Zip Code | 076635321 |
| Phone Number | 2013681717 |
| Hospital Affiliation Ccn 1 | 310001 |
| Hospital Affiliation Lbn 1 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 310012 |
| Hospital Affiliation Lbn 2 | VALLEY HOSPITAL |
| Hospital Affiliation Ccn 3 | 310019 |
| Hospital Affiliation Lbn 3 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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