Individual
WILLIAM TISHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, CPRS
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6401
Mailing address
PO BOX 345, WASHINGTON, NJ 07882-0345
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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