Individual
DR. STAN J WASILEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MAY ST, SUITE F, EDISON, NJ 08837-3266
(732) 738-8855
(738) 738-4141
Mailing address
225 MAY ST, SUITE F, EDISON, NJ 08837-3266
(732) 738-8855
(738) 738-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06116300
NJ
207RC0000X
Cardiovascular Disease Physician
25MA06116300
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA06116300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6814603
—
NJ
Enumeration date
05/10/2006
Last updated
06/09/2015
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