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Contact Information

MIKHAIL TISMENETSKY, MD
350 ENGLE ST
ENGLEWOOD, NJ07631-1808
 Phone: 201-894-1702
 Fax: 201-871-2269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MIKHAIL TISMENETSKY · (Male)

NPI # 1205029212
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2007
Last updated 08/22/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08289600
Hospital affiliation(s)
  • ENGLEWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 ENGLE ST
    ENGLEWOOD, NJ 07631
  • UPMC PRESBYTERIAN SHADYSIDE - (Acute Care)
    200 LOTHROP STREET
    PITTSBURGH, PA 15213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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