Organization
ANITA KISHEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA KISHEN MD (OWNER)
(908) 889-4932
Entity
Organization
Contact information
Practice address
805 INMAN AVE, COLONIA, NJ 07067-1433
(908) 821-5333
Mailing address
1743 RAMAPO WAY, SCOTCH PLAINS, NJ 07076-2319
(908) 889-4932
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08017500
NJ
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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