Healthcare Provider Details

I. General information

NPI: 1013903335
Provider Name (Legal Business Name): RALPH KUHN
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 BEACON AVE
MANAHAWKIN NJ
08050-2420
US

IV. Provider business mailing address

1173 BEACON AVE
MANAHAWKIN NJ
08050-2420
US

V. Phone/Fax

Practice location:
  • Phone: 609-597-1556
  • Fax: 609-597-0911
Mailing address:
  • Phone: 609-597-1556
  • Fax: 609-597-0911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number24199
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: