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Individual

MARTHA SLADE KEARNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(610) 770-1606
Mailing address
C/O BWR INNOVATIONS 3471 S. UNIVERSITY DRIVE, FARGO, ND 58104
(701) 552-5271

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
10651
ND
2085R0202X
Diagnostic Radiology Physician
Primary
25MA12400400
NJ
2085R0202X
Diagnostic Radiology Physician
MD463373
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001418260
CT
05
103463715
PA
05
14287
ND
Enumeration date
11/09/2005
Last updated
08/22/2025
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