Wisotsky, Burton Judah
Wisotsky, Burton Judah is an individual health care provider with primary practice located at 485 Route 1 S Bldg A, Iselin NJ 08830-3009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wisotsky, Burton Judah can be contacted via phone (732) 750-0400.Contact Information
Primary practice address
485 Route 1 S Bldg A
Iselin NJ 08830-3009
Phone: (732) 750-0400
Fax: (732) 750-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA06274100 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 1869411 | New York |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 25MA06274100 | New Jersey |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 186941-1 | New York |
Profile Details
| NPI number | 1972594083 |
|---|---|
| LBN Legal business name | Wisotsky, Burton Judah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 30th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972594083 | NPPES |
| New Jersey | MEDICAID | 6675905 | |
| New Jersey | MEDICAID | 01634931 | |
| New Jersey | Other | 7871714QHY | |
| New Jersey | Other | BW073T7610 |
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