Individual
KIMBERLY RETHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
557 CRANBURY RD STE 3, EAST BRUNSWICK, NJ 08816-5419
(732) 613-0600
Mailing address
660 WHITE PLAINS RD STE 400, TARRYTOWN, NY 10591-5107
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MB10578200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2014
Last updated
07/08/2019
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