Individual
DR. KENNETH E KRONHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 JACK MARTIN BLVD, SUITE 5, BRICK, NJ 08724-7778
(732) 458-8000
(732) 458-8020
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08148000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08148000
STATE LICENSE NUMBER
NJ
Enumeration date
09/28/2006
Last updated
07/09/2024
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