Individual
MARY DIANA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 STEPHENSON AVE UNIT B, OCEANPORT, NJ 07757-1242
(732) 592-3400
Mailing address
124 WOODLAND DR, KEYPORT, NJ 07735-5344
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ15415500
NJ
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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