Individual
DEBRA LISCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 E GLOUCESTER PIKE, BARRINGTON, NJ 08007-1323
(856) 547-4422
(856) 547-0660
Mailing address
2404 WIMBLEDON WAY, BLACKWOOD, NJ 08012-5561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00958900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2229163
FIRST HEALTH
NJ
01
—
2293320
UNITEDHEALTHCARE MPIN
NJ
01
—
9074207
CIGNA PPO
NJ
Enumeration date
10/11/2006
Last updated
02/24/2012
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