Individual
CHRISTINA WJASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2073 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 584-1212
(609) 584-0103
Mailing address
2073 KLOCKNER ROAD, HAMILTON, NJ 08690
(609) 584-1212
(609) 584-0103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07920600
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA07920600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079120
—
NJ
01
—
22-3052989
TAX ID
NJ
Enumeration date
06/04/2006
Last updated
08/26/2015
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