Individual
MR. KEVIN M LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
160 MAPLEWOOD AVE APT 14, MAPLEWOOD, NJ 07040-2699
(302) 898-0351
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15000600
NJ
Other
Enumeration date
12/05/2016
Last updated
05/28/2024
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