Individual
DR. PAUL KRISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 MCBRIDE AVE STE 222, WOODLAND PARK, NJ 07424-3812
(973) 852-1356
Mailing address
1225 MCBRIDE AVE STE 222, WOODLAND PARK, NJ 07424-3812
(973) 852-1356
(973) 200-0596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42876
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3290701
—
NJ
Enumeration date
06/16/2006
Last updated
09/16/2019
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