Criswell, Zachary

Criswell, Zachary is an individual health care provider with primary practice located at 230 E Ridgewood Ave , Paramus NJ 07652. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Criswell, Zachary can be contacted via phone (201) 225-7130.

Contact Information

Primary practice address
230 E Ridgewood Ave Paramus NJ 07652
Phone: (201) 225-7130
Fax: (201) 967-4117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00343200 New Jersey

Profile Details

NPI number 1023429651
LBN Legal business name Criswell, Zachary
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2014
Last updated Jan 30th, 2019 - about 5 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 1023429651 NPPES
New Jersey MEDICAID 0664286

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