Individual
DR. JENNIFER KMIECZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
142 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 568-0033
(201) 568-3453
Mailing address
142 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 568-0033
(201) 568-3453
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD02491
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8151105
—
NJ
Enumeration date
06/13/2006
Last updated
09/15/2011
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