Individual
DR. LISA ADRIAN KASSENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
138 RTE 9 S, FORKED RIVER, NJ 08731-3625
(609) 756-0000
(609) 488-1613
Mailing address
138 RTE 9 S, FORKED RIVER, NJ 08731-3625
(609) 756-0000
(609) 488-1613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB07878100
NJ
Other
Enumeration date
04/07/2006
Last updated
12/20/2018
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