Healthcare Provider Details

I. General information

NPI: 1265459101
Provider Name (Legal Business Name): MAUREEN KAUNE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 KNOLLCROFT RD
LYONS NJ
07939-5001
US

IV. Provider business mailing address

230 MENDHAM RD
BERNARDSVILLE NJ
07924-1626
US

V. Phone/Fax

Practice location:
  • Phone: 908-647-0180
  • Fax: 98-604-5251
Mailing address:
  • Phone: 908-766-4949
  • Fax: 908-766-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA05665400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: