Wilcenski, Michael

Wilcenski, Michael is an individual health care provider with primary practice located at 695 Chestnut Street , Union NJ 07083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wilcenski, Michael can be contacted via phone (908) 851-8602.

Contact Information

Primary practice address
695 Chestnut Street Union NJ 07083
Phone: (908) 851-8602
Fax: (908) 851-8758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 25MA06250900 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 25MA06250900 New Jersey

Profile Details

NPI number 1164415733
LBN Legal business name Wilcenski, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Oct 6th, 2011 - about 13 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 1164415733 NPPES
New Jersey MEDICAID 6581404

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