Individual
DR. KENNETH JACK STORCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
210 MALAPARDIS RD STE 202, CEDAR KNOLLS, NJ 07927-1121
(973) 240-5000
(973) 765-9366
Mailing address
210 MALAPARDIS RD STE 202, CEDAR KNOLLS, NJ 07927-1121
(973) 240-5000
(973) 765-9366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05165800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246107
—
NJ
01
—
5026015
AETNA
NJ
Enumeration date
09/14/2005
Last updated
06/14/2021
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