Individual
LAURA CRISCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
128 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-2283
(973) 992-5588
(973) 992-1005
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB10814000
NJ
Other
Enumeration date
03/31/2017
Last updated
07/16/2021
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