# PAUL C KRISA, M.D, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922139559
- **Authorized official:** DR. PAUL C KRISA MD (OWNER)
- **Authorized official phone:** (973) 471-8850

## Contact information

- **Practice address:** 1135 BROAD ST, SUITE 205, CLIFTON, NJ 07013-3346
- **Practice address phone:** (973) 471-8850
- **Practice address fax:** (973) 471-5232
- **Mailing address:** 1135 BROAD ST, SUITE 205, CLIFTON, NJ 07013-3346
- **Mailing address phone:** (973) 471-8850
- **Mailing address fax:** (973) 471-5232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 42876 | NJ | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 10/13/2009