Individual
KENNETH FRED MALKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
376 BLOOMFIELD AVE, CALDWELL, NJ 07006-4905
(973) 226-2263
(973) 228-2013
Mailing address
376 BLOOMFIELD AVE, CALDWELL, NJ 07006-4905
(973) 226-2263
(973) 228-2013
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00155800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823740001
DMERC
NJ
05
—
2101009
—
NJ
Enumeration date
08/25/2005
Last updated
07/08/2007
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