Individual
MICHAEL CRAIG WISOTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
246 NORWOOD AVE, OAKHURST, NJ 07755-1747
(732) 502-3154
Mailing address
1232 LUKAS BLVD, MORGANVILLE, NJ 07751-9754
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
28RI03432600
NJ
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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