Provider Demographics
NPI:1881277036
Name:PAOLIZZI, KRISTEN NATALIE
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NATALIE
Last Name:PAOLIZZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 TWO PENNY RUN W
Mailing Address - Street 2:
Mailing Address - City:PILESGROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08098-2643
Mailing Address - Country:US
Mailing Address - Phone:856-381-7878
Mailing Address - Fax:
Practice Address - Street 1:210 BENIGNO BLVD
Practice Address - Street 2:
Practice Address - City:BELLMAWR
Practice Address - State:NJ
Practice Address - Zip Code:08031-2514
Practice Address - Country:US
Practice Address - Phone:856-931-0691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant