Canzoniero, Christian

Canzoniero, Christian is an sole proprietor health care provider with primary practice located at 89 Sparta Ave Ste 207 , Sparta NJ 07871-1791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Canzoniero, Christian can be contacted via phone (973) 726-4455.

Contact Information

Primary practice address
89 Sparta Ave Ste 207 Sparta NJ 07871-1791
Fax: (973) 726-8445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07880700 New Jersey

Profile Details

NPI number 1144303439
LBN Legal business name Canzoniero, Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1144303439 NPPES
New Jersey MEDICAID 0070157

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