Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VIRGINIA L MAHER WIESE, MD
Active Sole ProprietorDR. VIRGINIA L MAHER WIESE, MD is a Dermatology healthcare provider located in ESSEX, Connecticut. NPI 1396700217 is currently active in the NPPES registry. Verify at CMS.
Dermatology · ESSEX, CT
Registration Details
- NPI Number
- 1396700217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2006 (20.356512234145 yrs)
- Last Updated
- May 4, 2012
- License
-
032989 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 SAYBROOK ROADESSEX, CT, 064261401Browse CT providers · Browse ZIP 06426
- Phone
- 8607679998
- Fax
- 8607679161
- Primary Specialty
-
Dermatology
207N00000X
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.