Individual
ELIZABETH KISELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 SUMMIT AVE., SUITE 105, HACKENSACK, NY 07601
(551) 996-2900
Mailing address
5 SUMMIT AVE STE 105, HACKENSACK, NJ 07601-1271
(551) 996-2900
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
25MA09907400
NJ
2086S0127X
Trauma Surgery Physician
Primary
25MA09907400
NJ
Other
Enumeration date
03/29/2011
Last updated
08/21/2019
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