Provider Demographics
NPI:1568501328
Name:RAYMOND, CHRISTIAN SALVATORE (MD PC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:SALVATORE
Last Name:RAYMOND
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 MIDLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026
Mailing Address - Country:US
Mailing Address - Phone:973-478-7262
Mailing Address - Fax:973-478-3333
Practice Address - Street 1:362 MIDLAND AVENUE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026
Practice Address - Country:US
Practice Address - Phone:973-478-7262
Practice Address - Fax:973-478-3333
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00235000213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K2119OtherHEALTHNET
NJ223844779OtherHORIZON BCBS NJ
NJ7098308Medicaid
NJP00276223OtherRR MEDICARE
NJ1499636OtherGHI
NJ223844779OtherHORIZON BCBS NJ
NJP00276223OtherRR MEDICARE