Individual
DR. KRISS HADJISTAVRINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
(201) 567-0522
(201) 567-5955
Mailing address
40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
(201) 567-0522
(201) 567-5955
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
25MA03739600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502006
—
NJ
Enumeration date
04/11/2007
Last updated
07/08/2007
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