Healthcare Provider Details

I. General information

NPI: 1912161191
Provider Name (Legal Business Name): KITTNER MARKETING CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 11/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 ENGLISH CREEK AVE SUITE E-04
EGG HARBOR TOWNSHIP NJ
08234
US

IV. Provider business mailing address

78 W PARK AVE SUITE 1
VINELAND NJ
08360-3533
US

V. Phone/Fax

Practice location:
  • Phone: 609-646-2210
  • Fax: 609-646-3007
Mailing address:
  • Phone: 856-691-9020
  • Fax: 856-691-9028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number25MG00107300
License Number StateNJ

VIII. Authorized Official

Name: MR. RONALD N KITTNER
Title or Position: PRESIDENT
Credential: NJ HAD LIC# 1073
Phone: 856-691-9020