Provider Demographics
NPI:1396701900
Name:PIERSON, CHRISTOPHER G (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:G
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:241 MONMOUTH RD
Mailing Address - Street 2:STE 202
Mailing Address - City:W LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764
Mailing Address - Country:US
Mailing Address - Phone:732-923-9603
Mailing Address - Fax:732-923-9096
Practice Address - Street 1:241 MONMOUTH RD
Practice Address - Street 2:STE 202
Practice Address - City:W LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764
Practice Address - Country:US
Practice Address - Phone:732-923-9603
Practice Address - Fax:732-923-9096
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2010-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA65534207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7500807Medicaid
NJ901391Medicare ID - Type Unspecified
NJ7500807Medicaid