Individual
DR. STEVEN JAY KANENGISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 GOFFLE ROAD, RIDGEWOOD, NJ 07450
(201) 447-8026
(201) 251-3333
Mailing address
505 GOFFLE ROAD, RIDGEWOOD, NJ 07450
(201) 447-8026
(201) 251-3333
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MA061137
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6266304
—
NJ
Enumeration date
10/03/2006
Last updated
07/08/2007
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