Krisa, Paul
Krisa, Paul is an sole proprietor health care provider with primary practice located at 1225 Mcbride Ave Ste 222 , Woodland Park NJ 07424-3812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krisa, Paul can be contacted via phone (973) 852-1356.Contact Information
Primary practice address
1225 Mcbride Ave Ste 222
Woodland Park NJ 07424-3812
Phone: (973) 852-1356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42876 | New Jersey |
Profile Details
| NPI number | 1588608525 |
|---|---|
| LBN Legal business name | Krisa, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 16th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588608525 | NPPES |
| New Jersey | MEDICAID | 3290701 |
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