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NPI Code Detail

MEDICARE: KATHRYN M ECKERT DO

MEDICARE: KATHRYN M ECKERT DO
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
1208600000XSurgery Physician25MB12225400NJ

General Provider Information

NPI Number : 1912499989
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN M ECKERT DO
Provider Business Mailing Address
First Line : 331 NEWMAN SPRINGS RD STE 220
Second Line :
City : RED BANK
State : NJ
Zip : 07701-5792
Country : US
Telephone Number : 732-807-0877
Fax Number : 201-751-1680
Provider Business Practice Location Address
First Line : 19 DAVIS AVE FL 1
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-4488
Country : US
Telephone Number : 732-263-7960
Fax Number : 732-263-7961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 03/04/2026

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Directions to “ KATHRYN M ECKERT DO” Practice Location

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