Individual
JAY KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 SHREWSBURY AVE, RED BANK, NJ 07701-1250
(732) 212-0777
Mailing address
600 N EDGEMERE DR, ALLENHURST, NJ 07711-1322
(732) 531-8122
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA01879000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA01879000
MEDICAL LICENSE NUMBER
NJ
Enumeration date
04/17/2008
Last updated
04/17/2008
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