| 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 |
| 1588608525 | Other | NJ | NPI |
| 3290701 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42876 (New Jersey) | Primary |
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