Individual
KENAN FIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
641 2ND AVE, LYNDHURST, NJ 07071-1219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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