Individual
KEVIN CHRISTOPHER ANANNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 714-2700
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08069900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128635
—
NJ
05
—
02810873
—
NY
01
—
P00376801
RAILROAD MEDICARE
NJ
Enumeration date
07/27/2006
Last updated
10/28/2024
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