Individual
MICHAEL CISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1005 NORTH WASHINGON AVE., MEDEMERGE, GREEN BROOK, NJ 08812
(732) 968-8900
Mailing address
1005 NORTH WASHINGON AVE., MEDEMERGE, GREEN BROOK, NJ 08812
(732) 968-8900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00124600
NJ
Other
Enumeration date
06/14/2006
Last updated
03/22/2013
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