Individual
KEVIN LAW
Active
Individual
KEVIN LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA062504
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0683143000
AMERIHEALTH
NJ
01
—
0K8149
PHS
NJ
01
—
110202981
RAIL ROAD MEDICARE
NJ
01
—
1110647
MERCY
NJ
01
—
2046347
AETNA
NJ
05
—
7092601
—
NJ
Enumeration date
04/12/2007
Last updated
01/31/2011
Update your record
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