Individual
DR. MICHAEL Y VIKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
368 LAKEHURST RD SUITE 304, TOMS RIVER, NJ 08755
(732) 349-6856
(732) 349-0117
Mailing address
368 LAKEHURST RD SUITE 304, TOMS RIVER, NJ 08755
(732) 349-6856
(732) 349-0117
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25MA05773700
NJ
207KA0200X
Allergy Physician
Primary
25MA0577370
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6520600
—
NJ
Enumeration date
12/22/2006
Last updated
10/22/2024
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