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NPI Code Detail

MEDICARE: KATHLEEN MARY DREYFUSS

MEDICARE:   KATHLEEN MARY DREYFUSS
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
12251E1300XClinical Electrophysiology Physical TherapistQA04216NJ

General Provider Information

NPI Number : 1255525283
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARY DREYFUSS
Provider Business Mailing Address
First Line : 8 KRISTINA CT
Second Line :
City : MONROE TOWNSHIP
State : NJ
Zip : 08831-3750
Country : US
Telephone Number : 908-337-6995
Fax Number :
Provider Business Practice Location Address
First Line : 8 KRISTINA CT
Second Line :
City : MONROE TOWNSHIP
State : NJ
Zip : 08831-3750
Country : US
Telephone Number : 908-337-6995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2007
Last Update Date : 09/03/2007

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Directions to “ KATHLEEN MARY DREYFUSS ” Practice Location

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