Zachary Criswell

NPI 1023429651 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1023429651
Gender Male
Enumeration Date 05/16/2014
Last Updated 05/16/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
150 BERGEN ST
G-142
NEWARK NJ, 07103-2496, US
Phone (973) 972-5088
Fax
Business Location
150 BERGEN ST
G-142
NEWARK NJ, 07103-2496, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Zachary Criswell NPI is 1023429651, taxonomy code is 390200000X Zachary Criswell physically located at 150 Bergen St, Newark NJ, 07103-2496. NPI Number Zachary Criswell has the Individual type.

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1023429651 NPI number is provided on an as is basis without warranty of any kind. 1023429651 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Criswell are for informational purposes only.