Individual
KENNETH CZENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1351 OLD FREEHOLD RD, TOMS RIVER, NJ 08753-2775
(732) 240-0090
Mailing address
987 WESTMINSTER DR, TOMS RIVER, NJ 08753-4476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46TR00464100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720487887
NPI
NJ
Enumeration date
03/25/2015
Last updated
08/14/2023
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