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Individual

KEVIN OVERBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB07792300
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MB07792300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0097721
NJ
Enumeration date
07/19/2006
Last updated
03/15/2024
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