Individual
DR. MIKHAIL TISMENETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-1702
(201) 871-2269
Mailing address
PO BOX 8069, ENGLEWOOD, NJ 07631-8069
(201) 894-1702
(201) 871-2269
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08289600
NJ
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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