Individual
DR. PAVEL TISHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
183 HIGH ST, NEWTON, NJ 07860-9601
(973) 300-0579
Mailing address
183 HIGH ST, STE 1200, NEWTON, NJ 07860-9601
(732) 771-3335
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
25MA08825900
NJ
2084N0400X
Neurology Physician
Primary
25MA08825900
NJ
Other
Enumeration date
10/18/2008
Last updated
07/20/2018
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