Individual provider · Type 1 NPI

Debra Wisniewski, PA

Medical Physician Assistant · Union, NJ

NPI number 1750415832 Active

Practice location

695 Chestnut St
Union, NJ 07083-7200

Fax (908) 686-8758

Mailing address

PO Box 415750
Boston, MA 02241-5750

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00051100 (NJ)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1750415832

Debra Wisniewski, PA's National Provider Identifier is 1750415832, issued on Mar 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Union, NJ. The record was last updated on Jul 11, 2016.