Provider Demographics
NPI:1245491455
Name:PFISTERER, CHRISTINE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:PFISTERER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 PALISADE AVE
Mailing Address - Street 2:SUITE #205
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3419
Mailing Address - Country:US
Mailing Address - Phone:201-836-1663
Mailing Address - Fax:201-836-5729
Practice Address - Street 1:870 PALISADE AVE
Practice Address - Street 2:SUITE #205
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3419
Practice Address - Country:US
Practice Address - Phone:201-836-1663
Practice Address - Fax:201-836-5729
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015923208100000X
NJ25MB09346000208100000X
NY276675208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation