Individual provider · NPI-1

Diana Kirschenbaum, CRNA

Nurse Anesthetist, Certified Registered · Livingston, NJ

NPI number1124404470
StatusActive
Last updated in NPPESMar 13, 2018

Details

NPI
1124404470
Entity type
Individual (NPI-1)
Name
Ms. Diana Kirschenbaum
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2015
Last updated
Mar 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered26NJ00594800NJYes
163W00000X Registered Nurse26NR13855300NJ

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone 973-322-5000

Mailing address

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone 973-322-5000

Other practice locations

150 Bergen St
Newark, NJ 07103-2496

Phone 973-972-4300

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