Healthcare Provider Details

I. General information

NPI: 1881556363
Provider Name (Legal Business Name): KRISTEN AUFIERO
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: KRISTEN ATKINS

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 BLACK HORSE PIKE
EGG HARBOR TOWNSHIP NJ
08234-9752
US

IV. Provider business mailing address

226 HERMOSA DR
EGG HARBOR TOWNSHIP NJ
08234-3124
US

V. Phone/Fax

Practice location:
  • Phone: 609-272-0909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37AC00776100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: