Individual
DR. HARALD JAMES KIAMZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Mailing address
285 DAVIDSON AVE, STE 204, SOMERSET, NJ 08873-4153
(201) 427-8873
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08119700
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA0811970
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119750
—
NJ
01
—
104987
MEDICARE PTAN
NJ
Enumeration date
09/20/2006
Last updated
12/31/2018
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