Organization
KIMBALL MEDICAL CENTER HOUSE STAFF/EKG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ESPOSITO (DIRECTOR)
(732) 557-7160
Entity
Organization
Contact information
Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(732) 886-4443
(732) 886-4659
Mailing address
PO BOX 6069, BELLMAWR, NJ 08099-6069
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7997507
—
NJ
Enumeration date
05/10/2006
Last updated
08/22/2020
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