Paul C Krisa, M.D, Pa

LBN: Paul C Krisa, M.D, Pa
Paul C Krisa, M.D, Pa is an health care organization with primary practice located at 1135 Broad St Suite 205, Clifton NJ 07013-3346. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Paul C Krisa, M.D, Pa can be contacted via phone (973) 471-8850, or through Krisa, Paul C via phone (973) 471-8850.

Contact Information

Primary practice address
1135 Broad St Suite 205 Clifton NJ 07013-3346
Phone: (973) 471-8850
Fax: (973) 471-5232
Website:
Map and Directions
Authorized official contact:
Name: Krisa, Paul C Doctor of Medicine (MD)
Phone: (973) 471-8850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42876 New Jersey

Profile Details

NPI number 1922139559
LBN Legal business name Paul C Krisa, M.D, Pa
DBA Doing business as
Authorized official Krisa, Paul C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Oct 13th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922139559 NPPES
New Jersey MEDICAID 3290701
New Jersey Other 1588608525

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