Healthcare Provider Details

I. General information

NPI: 1285677724
Provider Name (Legal Business Name): HOWARD S KESSLER D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 BROADWAY
HILLSDALE NJ
07642-2040
US

IV. Provider business mailing address

230 BROADWAY
HILLSDALE NJ
07642-2040
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-4864
  • Fax: 201-664-2773
Mailing address:
  • Phone: 201-664-4864
  • Fax: 201-664-2773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number38MC00315300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: