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Individual

DR. SIDNEY KRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 324-5348
(732) 324-4811
Mailing address
PO BOX 48270, NEWARK, NJ 07101-4800
(201) 818-9118

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02710200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15297
AMERIGROUP #
NJ
01
221494442
TAX ID#
NJ
01
2406187000
AMERIHEALTH #
NJ
01
40963
UNIVERSITY HEALTH PLANS
NJ
01
60014828
HORIZON NJ HEALTH #
NJ
01
P00208292
RR MDCR #
NJ
01
P3617802
OXFORD #
NJ
01
XK5559
HEALTHNET #
NJ
Enumeration date
06/22/2006
Last updated
05/02/2008
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