Provider Demographics
NPI:1669468856
Name:PISATOWSKI, DENISE MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MICHELLE
Last Name:PISATOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:DENISE
Other - Middle Name:MICHELLE
Other - Last Name:PISATOWSKI-SCHMITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 WALTER E FORAN BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4668
Mailing Address - Country:US
Mailing Address - Phone:908-284-5295
Mailing Address - Fax:908-806-3478
Practice Address - Street 1:4 WALTER E FORAN BLVD STE 302
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4668
Practice Address - Country:US
Practice Address - Phone:908-806-0080
Practice Address - Fax:908-806-8570
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05998700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG35422Medicare UPIN