Individual
MICHAEL J CISKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753-6952
(732) 938-6090
(732) 938-5680
Mailing address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 537-0909
(732) 564-9032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001569
CT
363A00000X
Physician Assistant
Primary
25MP00193800
NJ
363AS0400X
Surgical Physician Assistant
25MP00193800
NJ
Other
Enumeration date
07/19/2006
Last updated
06/20/2024
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