Provider Demographics
NPI:1992026165
Name:HEALTH WISE WOMEN
Entity Type:Organization
Organization Name:HEALTH WISE WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDANT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ESIELY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-647-6794
Mailing Address - Street 1:79 HUDSON STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:201-222-5451
Mailing Address - Fax:201-604-6332
Practice Address - Street 1:79 HUDSON STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-222-5451
Practice Address - Fax:201-604-6332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08667800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty