1568737856 NPI number — DR. CHRISTIAN S RAYMOND

Table of content: (NPI 1568737856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568737856 NPI number — DR. CHRISTIAN S RAYMOND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. CHRISTIAN S RAYMOND
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568737856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
93 SPRING ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARFIELD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07026-2321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-478-7262
Provider Business Mailing Address Fax Number:
973-478-3333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
362 MIDLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07026-1736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-478-7262
Provider Business Practice Location Address Fax Number:
973-478-3333
Provider Enumeration Date:
03/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
RAYMOND
Authorized Official First Name:
CHRISTIAN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PODIATRIST
Authorized Official Telephone Number:
973-478-7262

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7098308 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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