Individual
KENNETH ROBERT SKORENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1019 BROADWAY, WEST LONG BRANCH, NJ 07764-1326
(732) 229-6797
(732) 229-6893
Mailing address
36 MUSKET LN, EATONTOWN, NJ 07724-2448
(732) 222-5817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA42922
NJ
Other
Enumeration date
06/11/2006
Last updated
01/15/2013
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