Paul C Krisa, M.d, Pa | |
1135 Broad St Suite 205 Clifton NJ 07013-3346 | |
(973) 471-8850 | |
(973) 471-5232 |
Full Name | Paul C Krisa, M.d, Pa |
---|---|
Speciality | Internal Medicine |
Location | 1135 Broad St, Clifton, New Jersey |
Authorized Official Name and Position | Paul C Krisa (OWNER) |
Authorized Official Contact | 9734718850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Paul C Krisa, M.d, Pa 1135 Broad St Suite 205 Clifton NJ 07013-3346 Ph: (973) 471-8850 | Paul C Krisa, M.d, Pa 1135 Broad St Suite 205 Clifton NJ 07013-3346 Ph: (973) 471-8850 |
NPI Number | 1922139559 |
---|---|
Provider Enumeration Date | 03/07/2007 |
Last Update Date | 10/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922139559 | NPI | - | NPPES |
3290701 | Medicaid | NJ | |
1588608525 | Other | NJ | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42876 (New Jersey) | Primary |
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