Individual provider · Type 1 NPI
Michael Andrew Gistrak, MD
Specialist · Rahway, NJ
NPI number
1396793972
Active
Practice location
865 Stone St
Rahway, NJ 07065-2742
Fax (732) 499-6122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 25MA06367700 (NJ) |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA06367700 (NJ) |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1396793972
Michael Andrew Gistrak, MD's National Provider Identifier is 1396793972, issued on May 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rahway, NJ. The record was last updated on Nov 22, 2017.