Individual
KEVIN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W BLACKWELL ST, DOVER, NJ 07801-2525
(201) 779-4473
Mailing address
155 3RD ST, BERGENFIELD, NJ 07621-1439
(201) 779-4473
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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