Individual
KEVIN HEWITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, ETD, HACKENSACK, NJ 07601-1914
(201) 996-4614
(201) 968-1866
Mailing address
115 MONTAGUE ST 3C, BROOKLYN, NY 11201
(201) 996-4614
(201) 968-1866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA05889200
NJ
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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