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NPI Code Detail

MEDICARE: KENBROOK ASSOCIATES

MEDICARE: KENBROOK ASSOCIATES
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
1314000000XSkilled Nursing Facility0490055NJ

General Provider Information

NPI Number : 1952464117
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENBROOK ASSOCIATES
Provider Business Mailing Address
First Line : 120 PARK END PL
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07018-1116
Country : US
Telephone Number : 973-676-6221
Fax Number : 973-965-0381
Provider Business Practice Location Address
First Line : 120 PARK END PL
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07018-1116
Country : US
Telephone Number : 973-676-6221
Fax Number : 973-965-0381
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MRS. DENISE BARLOW
Credential :
Telephone Number : 973-965-0325
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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Directions to “KENBROOK ASSOCIATES ” Practice Location

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