Healthcare Provider Details

I. General information

NPI: 1871904482
Provider Name (Legal Business Name): KRISTEN ALAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 04/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 PROFESSIONAL VIEW DRIVE BLDG 300, SECOND FLOOR
FREEHOLD NJ
07728
US

IV. Provider business mailing address

231 ALBERT SABIN WAY ML 0526 ROOM 7105
CINCINNATI OH
45267-0526
US

V. Phone/Fax

Practice location:
  • Phone: 732-431-1616
  • Fax: 732-866-7962
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA10317300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: