Individual
KEVIN LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2312 WHITEHORSE MERCERVILLE RD, SUITE 105, TRENTON, NJ 08619-1953
(608) 586-7400
(609) 586-7656
Mailing address
PO BOX 6481, LAWRENCEVILLE, NJ 08648-0481
(609) 586-7400
(609) 586-7656
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
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