MIKHAIL TISMENETSKY

ENGLEWOOD, NJ
NPI1205029212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NJ  25MA08289600)
Enumeration Date2007-08-22
Last Update Date2007-08-22
Business Address
Dr. MIKHAIL TISMENETSKY MD
350 ENGLE ST
ENGLEWOOD, NJ 07631-1808
Phone number: 201-894-1702
Mailing Address
Dr. MIKHAIL TISMENETSKY MD
PO BOX 8069
ENGLEWOOD, NJ 07631-8069
Phone number: 201-894-1702
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