Healthcare Provider Details

I. General information

NPI: 1275152506
Provider Name (Legal Business Name): DAVID E KANTROWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 COMMERCE AVE
UNION NJ
07083-5025
US

IV. Provider business mailing address

1057 COMMERCE AVE
UNION NJ
07083-5025
US

V. Phone/Fax

Practice location:
  • Phone: 908-688-8800
  • Fax: 908-389-7821
Mailing address:
  • Phone: 908-688-8800
  • Fax: 908-389-7821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MA13230500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: