Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marvin Wisch PA

Organization Family Medicine Physician · NPI 1003146994

Marvin Wisch PA is a Family Medicine Physician in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28-09 Fair Lawn Ave
Fair Lawn, NJ 07410-3410
Phone: (201) 796-3171
Fax: (201) 796-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MB14606 (NJ)

Record details

NPI number1003146994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Wisch — Owner · (201) 796-3171
NPI enumeratedDecember 28, 2009
Last updated in NPPESDecember 28, 2009
Mailing address28-09 Fair Lawn Ave, Fair Lawn, NJ 07410-3410

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