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General NPI Number Information
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NPI Number | 1295754158
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Entity Type | Individual
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Provider Name | PAUL A HRISO MD PA
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 354 AVENUE C
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City | BAYONNE
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State | NJ
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Zip | 07002-1412
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Country | US
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Telephone | 201-437-1775
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Fax | 201-436-1601
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Provider Business Mailing Address
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Address Line | 100 MATTHEW DRIVE
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City | BEDMINSTER
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State | NJ
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Zip | 07921-2622
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Country | US
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Telephone | 201-437-1775
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Fax | 201-436-1601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA59033
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License Number State | NJ
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