NPI 1205029212

Mikhail Tismenetsky, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Englewood, NJ

Practice location

Address: 350 Engle St, Englewood, NJ 07631-1808
Phone: (201) 894-1702
Fax: (201) 871-2269
Mailing address: PO Box 8069, Englewood, NJ 07631-8069

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 25MA08289600 (NJ)

Other Pathology providers in New Jersey →

Registry record

NPI: 1205029212
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2007
Record last updated: 22 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.