Organization
WOMEN'S HEALTH ASSOCIATES OF SOMERSET, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THEODORE KICENUIK MD (PRESIDENT)
(732) 873-4200
Entity
Organization
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901
(732) 745-8600
(732) 563-9181
Mailing address
51 GEIGER LANE, WARREN, NJ 07059-5641
(732) 873-4200
(732) 873-4201
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA03343200
NJ
Other
Enumeration date
05/22/2006
Last updated
09/11/2008
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