Individual
DR. KENNETH V. MASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Mailing address
2 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1294
(856) 310-0042
(856) 310-0092
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD047765L
PA
2084P0805X
Geriatric Psychiatry Physician
Primary
25MA06269400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6917007
—
NJ
Enumeration date
06/22/2006
Last updated
09/29/2023
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