Individual
NICHOLAS M KAFFL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 226-2725
Mailing address
1910 SNYDER AVE, BELMAR, NJ 07719-2642
(856) 371-9113
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00021200
NJ
Other
Enumeration date
12/09/2006
Last updated
02/01/2022
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