Individual
DR. KIRBY DOUGLAS REKEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6860
Mailing address
255 3RD AVE, LONG BRANCH, NJ 07740-6214
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA04623700
NJ
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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