Individual
JAMES KIERSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 POMPTON AVE, POMPTON LAKES, NJ 07442-1895
(973) 835-6337
Mailing address
PO BOX 326, FRANKLIN LAKES, NJ 07417-0326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00122500
NJ
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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