Provider Demographics
NPI:1437492964
Name:PASICK, CHRISTINA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE
Last Name:PASICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 MORRIS AVE STE J
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-1359
Mailing Address - Country:US
Mailing Address - Phone:732-945-6555
Mailing Address - Fax:732-945-6556
Practice Address - Street 1:309 MORRIS AVE STE J
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1359
Practice Address - Country:US
Practice Address - Phone:732-945-6555
Practice Address - Fax:732-945-6556
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10553400208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PANAOtherNA