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Organization

KENNETH TREADWELL JR. MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH TREADWELL JR. MD (PRESIDENT)
(973) 372-1441
Entity
Organization

Contact information

Practice address
1387 CLINTON AVE, IRVINGTON, NJ 07111-1442
(973) 372-1441
(973) 372-6019
Mailing address
1387 CLINTON AVE, IRVINGTON, NJ 07111
(973) 372-1441
(973) 372-6019

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/07/2011
Last updated
03/07/2011
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