MEDICARE: WARREN S KURNICK MD

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
1	207N00000X	Dermatology Physician	MA57620	NJ

General Provider Information

NPI Number	:	1841290053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN S KURNICK MD

Provider Business Mailing Address
First Line	:	220 SUNSET RD STE 2C
Second Line	:
City	:	WILLINGBORO
State	:	NJ
Zip	:	08046-1126
Country	:	US
Telephone Number	:	609-871-9500
Fax Number	:	609-871-0619

Provider Business Practice Location Address
First Line	:	220 SUNSET RD STE 2C
Second Line	:
City	:	WILLINGBORO
State	:	NJ
Zip	:	08046-1126
Country	:	US
Telephone Number	:	609-871-9500
Fax Number	:	609-871-0619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	09/24/2020

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