Individual
CHRISTOPHER KISHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
1174 SUMMIT AVE # 1, JERSEY CITY, NJ 07307-3226
(201) 344-0108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00875200
NJ
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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