Individual
DR. LIVIU C CRISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 LACEY RD, FORKED RIVER, NJ 08731
(609) 242-4322
(609) 242-4324
Mailing address
651 LACEY RD, FORKED RIVER, NJ 08731
(609) 242-4322
(609) 242-4324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA061561
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J9788
HORIZON
—
01
—
P488102
OXFORD
—
Enumeration date
04/28/2006
Last updated
06/23/2008
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