Individual
WAYNE FLEISCHHACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
695 CHESTNUT STREET, UNION, NJ 07083
(908) 851-8602
(908) 851-8758
Mailing address
PO BOX 415750, BOSTON, MA 02241-5750
(908) 851-8602
(908) 686-8758
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MB058448900
NJ
208VP0000X
Pain Medicine Physician
25MB05848900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6408907
—
NJ
Enumeration date
08/25/2005
Last updated
10/06/2011
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