Individual
DR. KENNETH WILLIAM MEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
121 CENTER GROVE RD, SUITE #18, RANDOLPH, NJ 07869-4453
(973) 328-1414
(973) 361-1085
Mailing address
121 CENTER GROVE RD, SUITE #18, RANDOLPH, NJ 07869-4453
(973) 328-1414
(973) 361-1085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03450600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142500
—
NJ
Enumeration date
06/26/2006
Last updated
07/08/2007
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