Individual
KENNETH B HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 NEPTUNE BLVD, NEPTUNE, NJ 07753-4144
(732) 775-5300
(732) 775-1737
Mailing address
444 NEPTUNE BLVD, NEPTUNE, NJ 07753-4144
(732) 775-5300
(732) 775-1737
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07377200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034358
MERCY HEALTH
NJ
01
—
110236137
RAILROAD MEDICARE
NJ
01
—
2227377
UNITED HEALTHCARE
NJ
01
—
2945805
AETNA
NJ
01
—
2K2616
HEALTH NET
NJ
01
—
501P31
EMPIRE BLUE CROSS
NJ
05
—
8880000
—
NJ
01
—
9149071103
CIGNA
NJ
01
—
P2654381
OXFORD
NJ
Enumeration date
07/28/2005
Last updated
09/26/2012
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