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Contact Information

PAVEL TISHUK, MD
183 HIGH ST
NEWTON, NJ07860-9601
 Phone: 973-300-0579
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PAVEL TISHUK · (Male)

NPI Number 1205088572
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2008
Last updated 07/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08825900
Hospital affiliation(s) Not Available
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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