Individual
CAROLE A WISCHUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 W SAINT GEORGES AVE FL 2, LINDEN, NJ 07036-3900
(908) 486-1111
(908) 486-2723
Mailing address
210 W SAINT GEORGES AVE FL 2, LINDEN, NJ 07036-3900
(908) 486-1111
(908) 486-2723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00221600
NJ
Other
Enumeration date
09/09/2009
Last updated
03/22/2019
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