Individual
DR. KATHRYN P CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 N FULLERTON AVE, FIRST FLOOR, MONTCLAIR, NJ 07042-3412
(973) 509-6039
(973) 509-6069
Mailing address
33 N FULLERTON AVE, FIRST FLOOR, MONTCLAIR, NJ 07042-3412
(973) 509-6039
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07491800
NJ
Other
Enumeration date
05/09/2006
Last updated
08/27/2007
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