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Individual

DR. LISA BARISCIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15 JAMES STREET, FLORHAM PARK, NJ 09732-1346
(973) 503-0600
(973) 503-0424
Mailing address
15 JAMES STREET, FLORHAM PARK, NJ 09732-1346
(973) 503-0600
(973) 503-0424

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MA075732
NJ
2080P0201X
Pediatric Allergy/Immunology Physician
MA075732
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009335992
PHCS
NJ
01
2K6693
HEALTHNET
NJ
01
7736574
AETNA
NJ
01
BEECH STREET
21247588446
NJ
01
CIGNA
4786617
NJ
01
P3238057
OXFORD
NJ
Enumeration date
03/16/2006
Last updated
07/20/2010
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