Individual
HERBERT L KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1173 BEACON AVE, MANAHAWKIN, NJ 08050-2420
(609) 250-4104
(609) 978-4860
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2605
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA04816000
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
270411
NY
207X00000X
Orthopaedic Surgery Physician
MD024230E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001282404
—
PA
05
—
03658835
—
NY
Enumeration date
07/01/2006
Last updated
12/11/2018
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