Organization
JERSEY UROLOGY GROUP P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A PISKUN MD (CLINICAL ADVISOR)
(609) 927-8746
Entity
Organization
Contact information
Practice address
403 BETHEL RD, SOMERS POINT, NJ 08244-2108
(609) 927-8746
(609) 601-1406
Mailing address
403 BETHEL RD, SOMERS POINT, NJ 08244-2108
(609) 927-8746
(609) 653-8807
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA08050100
NJ
Other
Enumeration date
12/22/2006
Last updated
01/09/2014
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