Gistrak, Michael Andrew

Gistrak, Michael Andrew is an individual health care provider with primary practice located at 865 Stone St , Rahway NJ 07065-2742. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Gistrak, Michael Andrew can be contacted via phone (732) 499-6139.

Contact Information

Primary practice address
865 Stone St Rahway NJ 07065-2742
Phone: (732) 499-6139
Fax: (732) 499-6122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 25MA06367700 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA06367700 New Jersey
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1396793972
LBN Legal business name Gistrak, Michael Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 22nd, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396793972 NPPES
New Jersey MEDICAID 6857108

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