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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1548359151 | NPPES |
| New Jersey | MEDICAID | 5218004 |
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