Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN T WISEMAN, DO
Active Sole ProprietorDR. JONATHAN T WISEMAN, DO is a Family Medicine healthcare provider located in RIVERSIDE, New Jersey. NPI 1063548154 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RIVERSIDE, NJ
Registration Details
- NPI Number
- 1063548154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.277625699948 yrs)
- Last Updated
- Mar 2, 2015
- License
-
25MB07242800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
129 BRIDGEBORO STRIVERSIDE, NJ, 080753201Browse NJ providers · Browse ZIP 08075
- Phone
- 8564610766
- Fax
- 8564617095
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.