Individual
JOHN WISNOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
300 SO. WHITE HORSE PIKE, HAMMONTON, NJ 08037
(609) 561-6700
Mailing address
736 BARTON RUN BLVD, MARLTON, NJ 08053-2758
(856) 810-0137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO11218800
NJ
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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