Individual
JONATHAN KRISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
279 3RD AVE STE 204, LONG BRANCH, NJ 07740
(732) 222-7373
(732) 222-7372
Mailing address
279 3RD AVE STE 204, LONG BRANCH, NJ 07740-6210
(732) 222-7373
(732) 222-7372
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA10527800
NJ
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
25MA10527800
NJ
Other
Enumeration date
06/22/2015
Last updated
10/16/2019
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