Individual
MICHAEL W BICKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 SHREWSBURY AVE, STE 103, SHREWSBURY, NJ 07702
(732) 741-5923
(732) 741-2759
Mailing address
595 SHREWSBURY AVE, STE 103, SHREWSBURY, NJ 07702-4158
(732) 741-5923
(732) 741-2759
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA043967
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334869000
AMERIHEALTH
NJ
01
—
0461614
AETNA HMO
NJ
01
—
1000468
GHI PPO
NJ
01
—
23D451
BCBS OF NY
NJ
05
—
2456001
—
NJ
01
—
340012394
RAILROAD MEDICARE
NJ
01
—
4403508
AETNA PPO
NJ
Enumeration date
12/06/2005
Last updated
02/13/2014
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