Individual
DR. JASON ANTHONY KRYSTOFIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ORANGE AVE STE 118, LIVINGSTON, NJ 07039-5817
(973) 322-7330
Mailing address
200 S ORANGE AVE STE 118, LIVINGSTON, NJ 07039-5817
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA09978800
NJ
Other
Enumeration date
04/02/2014
Last updated
02/24/2020
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