Individual
MS. KIRSTEN KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6 BRIGHTON RD, CLIFTON, NJ 07012-1647
(973) 437-2616
(973) 657-5003
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00174700
NJ
Other
Enumeration date
09/21/2005
Last updated
10/14/2022
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