Individual
DR. MICHAEL J SISACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 CHURCH ST, FLEMINGTON, NJ 08822-2197
(908) 237-4124
Mailing address
215 STATE ROUTE 31 RM 116, FLEMINGTON, NJ 08822-5752
(908) 284-1125
(908) 284-2016
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA06942100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING FOR NJ
MEDICARE ID TYPE UNSPECIFIED
NJ
Enumeration date
06/06/2006
Last updated
05/12/2025
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