person
Debra Wisniewski, PA
Medical Physician Assistant in Union, New Jersey
NPI 1750415832

Debra Wisniewski is a Medical Physician Assistant based in Boston, NJ and is specialized in Medical. Debra Wisniewski practices in Union, NJ and has the professional credentials of PA. The NPI Number for Debra Wisniewski is 1750415832 and holds a License No. 25MP00051100 (New Jersey).

The current practice location address for Debra Wisniewski is 695 Chestnut St, Union, NJ and can be reached out via phone at 908-851-8602 and via fax at 908-686-8758. You can also correspond with Debra Wisniewski through the mailing address at PO BOX 415750, BOSTON, MA - 02241-5750 (mailing address contact number: 908-851-8602).

Location: 695 Chestnut St, Union, NJ, 02241-5750
person
Provider Profile Details
NPI Number
1750415832
Provider Name
Debra Wisniewski
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
695 Chestnut St, Union, NJ, 02241-5750
Phone Number
908-851-8602
Fax Number
908-686-8758
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MP00051100 01 NJ STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
695 Chestnut St
City
State
Zip
07083-7200
Phone Number
908-851-8602
Fax Number
908-686-8758
person
Provider Business Mailing Address Details
Address
695 Chestnut St
City
State
Zip
07083-7200
Phone Number
908-851-8602
Fax Number
908-686-8758
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00051100 (New Jersey)
Definition
Definition to come...
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