Provider Demographics
NPI:1508261900
Name:CHRISTOLOGY PC
Entity Type:Organization
Organization Name:CHRISTOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALFAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:CDS PHYSICAN
Authorized Official - Phone:201-947-3533
Mailing Address - Street 1:31 HUDSON TER
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2407
Mailing Address - Country:US
Mailing Address - Phone:201-947-3533
Mailing Address - Fax:
Practice Address - Street 1:31 HUDSON TER
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2407
Practice Address - Country:US
Practice Address - Phone:201-947-3533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05812300305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service