Individual
MICHAEL W BICKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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