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NPI Code Detail

MEDICARE: FRED A KOBYLARZ MD, MPH

MEDICARE: FRED A KOBYLARZ MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25MA0628900NJ
2207QG0300XGeriatric Medicine (Family Medicine) Physician29924IA
3207QG0300XGeriatric Medicine (Family Medicine) PhysicianME90906FL
4207QG0300XGeriatric Medicine (Family Medicine) Physician25MA0628900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023110749
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED A KOBYLARZ MD, MPH
Provider Business Mailing Address
First Line : 66 W GILBERT ST
Second Line :
City : TINTON FALLS
State : NJ
Zip : 07701-4947
Country : US
Telephone Number : 732-212-0051
Fax Number : 732-212-0713
Provider Business Practice Location Address
First Line : 18 CENTRE DR
Second Line :
City : MONROE TOWNSHIP
State : NJ
Zip : 08831-1501
Country : US
Telephone Number : 609-655-5178
Fax Number : 609-655-5284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 04/23/2024

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