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NPI Code Detail

MEDICARE: ANTHONY J KAISER MD PA

MEDICARE: ANTHONY J KAISER MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist25MAO2425200NJ

General Provider Information

NPI Number : 1659667079
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY J KAISER MD PA
Provider Business Mailing Address
First Line : 85 BAYSIDE DR
Second Line :
City : ATLANTIC HIGHLANDS
State : NJ
Zip : 07716-1734
Country : US
Telephone Number : 732-872-4402
Fax Number : 732-872-4465
Provider Business Practice Location Address
First Line : 33 N FULLERTON AVE
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-3412
Country : US
Telephone Number : 973-783-0133
Fax Number : 732-872-4465
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY J KAISER
Credential : MD
Telephone Number : 732-872-4402
Provider Enumeration Date : 06/23/2011
Last Update Date : 06/23/2011

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Directions to “ANTHONY J KAISER MD PA ” Practice Location

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