Provider Demographics
NPI:1407904063
Name:WISER-ESTIN, MINDY ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:MINDY
Middle Name:ELLEN
Last Name:WISER-ESTIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1300 RT 35 S PLAZA II
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712
Mailing Address - Country:US
Mailing Address - Phone:732-517-0555
Mailing Address - Fax:732-517-1359
Practice Address - Street 1:1300 RT 35 S PLAZA II
Practice Address - Street 2:SUITE 103
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712
Practice Address - Country:US
Practice Address - Phone:732-517-0555
Practice Address - Fax:732-517-1359
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2025-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA68274207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology