Provider Demographics
NPI:1578628764
Name:CHRISTIANO, ARTHUR ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ANDREW
Last Name:CHRISTIANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:223 N VAN DIEN AVE
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2726
Mailing Address - Country:US
Mailing Address - Phone:201-447-8242
Mailing Address - Fax:201-447-8657
Practice Address - Street 1:223 N VAN DIEN AVE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2726
Practice Address - Country:US
Practice Address - Phone:201-447-8242
Practice Address - Fax:201-447-8657
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02719300207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6383904Medicaid
452032BUPMedicare ID - Type Unspecified
NJD06532Medicare UPIN