Provider Demographics
NPI:1174930671
Name:CRISTIAN D CIORA MD LLC
Entity type:Organization
Organization Name:CRISTIAN D CIORA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIAN
Authorized Official - Middle Name:DAN
Authorized Official - Last Name:CIORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-569-6100
Mailing Address - Street 1:214 ENGLE STREET
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-569-6100
Mailing Address - Fax:
Practice Address - Street 1:214 ENGLE STREET
Practice Address - Street 2:SUITE 10
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-569-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ068764Medicare PIN