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NPI Code Detail

MEDICARE: MS. KENDAL HANGER M.D.

MEDICARE: MS. KENDAL HANGER M.D.
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
1208000000XPediatrics Physician25MA10803600NJ

General Provider Information

NPI Number : 1952832636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KENDAL HANGER M.D.
Provider Business Mailing Address
First Line : 1 DIAMOND HILL RD
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-2104
Country : US
Telephone Number : 908-273-4300
Fax Number :
Provider Business Practice Location Address
First Line : 695 BLOOMFIELD AVE
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2214
Country : US
Telephone Number : 973-744-6939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 12/17/2020

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