Criscito, Mario A
Criscito, Mario A is an sole proprietor health care provider with primary practice located at 50 Newark Ave Suite 204, Belleville NJ 07109-1185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Criscito, Mario A can be contacted via phone (973) 450-2158.Contact Information
Primary practice address
50 Newark Ave Suite 204
Belleville NJ 07109-1185
Phone: (973) 450-2158
Fax: (973) 450-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA02510600 | New Jersey |
Profile Details
| NPI number | 1063411957 |
|---|---|
| LBN Legal business name | Criscito, Mario A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Mar 6th, 2013 - about 11 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 | 1063411957 | NPPES |
| New Jersey | MEDICAID | 1458400 |
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