Whalio Doctors

NPI 1124491782

Laurence Alfred Chua Crisostomo, RN

Practitioner Registered Nurse Bergenfield, NJ

Practice location

Address
100 N Washington Ave, Bergenfield, NJ 07621-1719
Phone
(201) 989-2863

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 690538-1 (NY)

Registry record

NPI
1124491782
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Nov 2015
Record last updated
4 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.