Kisza, Piotr

Kisza, Piotr is an individual health care provider with primary practice located at 110 S Grove St , East Orange NJ 07018-4102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kisza, Piotr can be contacted via phone (973) 677-1027.

Contact Information

Primary practice address
110 S Grove St East Orange NJ 07018-4102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA07838000 New Jersey

Profile Details

NPI number 1013960079
LBN Legal business name Kisza, Piotr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 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 1013960079 NPPES
New Jersey MEDICAID 02359382

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