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Individual

DR. KEVIN ANDREW DAVID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-6777
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
25MA08606900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0207942
NJ
01
P00953305
RR MCR PTAN
NJ
Enumeration date
08/21/2008
Last updated
09/21/2011
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