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Organization
KENNETH TREADWELL JR. MD PC
Active
Organization
KENNETH TREADWELL JR. MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TREADWELL JR. MD (PRESIDENT)
(973) 372-1441
Entity
Organization
Contact information
Practice address
1387 CLINTON AVE, IRVINGTON, NJ 07111-1442
(973) 372-1441
(973) 372-6019
Mailing address
1387 CLINTON AVE, IRVINGTON, NJ 07111
(973) 372-1441
(973) 372-6019
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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