Individual
DR. LISA WISOTSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 ENGLE ST, STE 205, ENGLEWOOD, NJ 07631-2927
(201) 567-2277
(201) 567-7506
Mailing address
15 ENGLE ST, STE 205, ENGLEWOOD, NJ 07631-2927
(201) 567-2277
(201) 567-7506
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
186896 1
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA62845
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D06792300
CDS
NJ
Enumeration date
12/08/2005
Last updated
03/07/2023
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