Healthcare Provider Details

I. General information

NPI: 1609018167
Provider Name (Legal Business Name): KIMBERLEY TART ARMBRECHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CORLIES AVE DEPARTMENT OF ANESTHESIOLOGY
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

PO BOX 307
NEPTUNE NJ
07754-0307
US

V. Phone/Fax

Practice location:
  • Phone: 732-897-0261
  • Fax:
Mailing address:
  • Phone: 732-897-0261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMT188243
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA08914900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD441271
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA08914900
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number25MA08914900
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD441271
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: