Individual
DR. COLLIN RUSSELL CREANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 530-5520
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA10885700
NJ
Other
Enumeration date
05/09/2013
Last updated
11/06/2020
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