Individual
STEPHEN C KIMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAY AVE, DEPT OF PATHOLOGY, MONTCLAIR, NJ 07042-4837
(973) 429-6164
(973) 429-6992
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 206-1767
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA02548100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040000
—
NJ
Enumeration date
12/26/2006
Last updated
03/02/2011
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