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
Fax: (732) 750-1507
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1972594083 NPPES
New Jersey MEDICAID 6675905
New Jersey MEDICAID 01634931
New Jersey Other 7871714QHY
New Jersey Other BW073T7610

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