Individual
DR. RONALD V KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
117 CORNELIA ST, BOONTON, NJ 07005-1709
(973) 335-5400
(973) 335-9194
Mailing address
117 CORNELIA ST, BOONTON, NJ 07005-1709
(973) 335-5400
(973) 335-9194
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
MCO2777
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370003
—
NJ
01
—
P00787233
MEDICARE PTAN
NJ
Enumeration date
06/23/2006
Last updated
02/22/2010
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