Krisiloff, Edward B

Krisiloff, Edward B is an individual health care provider with primary practice located at 515 Church Street , Bound Brook NJ 08805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Krisiloff, Edward B can be contacted via phone (732) 469-6160.

Contact Information

Primary practice address
515 Church Street Bound Brook NJ 08805
Phone: (732) 469-6160
Fax: (732) 469-6436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MA46849 New Jersey

Profile Details

NPI number 1548359151
LBN Legal business name Krisiloff, Edward B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 11th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548359151 NPPES
New Jersey MEDICAID 5218004

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