Individual
AVRAHAM FISGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
36 AROSA HL, LAKEWOOD, NJ 08701-2134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15527600
NJ
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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