Individual
DR. PIOTR KISZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
(973) 677-1027
Mailing address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07838000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359382
—
NJ
Enumeration date
05/18/2006
Last updated
07/08/2007
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