Individual
JOHN A KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 BRACE RD, SUITE 102, CHERRY HILL, NJ 08034-3213
(856) 428-6616
(856) 428-4823
Mailing address
1210 BRACE RD, SUITE 102, CHERRY HILL, NJ 08034-3213
(856) 428-6616
(856) 428-4823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA54296
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0447390000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
0499597
CIGNA
—
05
—
0599409
—
NJ
01
—
1019626
HORIZON NJ HEALTH
—
01
—
13534
UNIVERSITY HEALTHPLAN
—
01
—
1547548
UNITED HEALTHCARE
—
01
—
501721
AETNA
—
Enumeration date
10/16/2006
Last updated
04/25/2016
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