NPI 1386249266

Michael Craig Wisotsky, PHARMD

Practitioner Ambulatory Care Pharmacist Oakhurst, NJ

Practice location

Address: 246 Norwood Ave, Oakhurst, NJ 07755-1747
Phone: (732) 502-3154
Mailing address: 1232 Lukas Blvd, Morganville, NJ 07751-9754

Registered specialties

Ambulatory Care Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P2201X Licence 28RI03432600 (NJ)

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Registry record

NPI: 1386249266
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2020
Record last updated: 1 Dec 2020

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.