Healthcare Provider Details

I. General information

NPI: 1962401307
Provider Name (Legal Business Name): BARRY ALAN WISLER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 S ANDOVER AVE
MARGATE CITY NJ
08402-2802
US

IV. Provider business mailing address

4 S ANDOVER AVE
MARGATE CITY NJ
08402-2802
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-4433
  • Fax: 609-544-1760
Mailing address:
  • Phone: 215-450-3956
  • Fax: 609-544-1760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00094000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: