Individual
DR. KENNETH FRANCIS SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
217 LAUREL RD E, STRATFORD, NJ 08084-1301
(856) 783-6361
(856) 783-0168
Mailing address
217 LAUREL RD E, STRATFORD, NJ 08084-1301
(856) 783-6361
(856) 783-0168
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00108800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086502
—
NJ
Enumeration date
06/06/2006
Last updated
10/22/2007
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