Individual
DR. KENNETH ALBERT SCHMIDT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, SUITE 16, WYCKOFF, NJ 07481-1439
(201) 847-9403
Mailing address
5 SPRUCE HOLLOW RD, UPPER SADDLE RIVER, NJ 07458-1941
(201) 818-4052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA04373500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0848409
—
NJ
Enumeration date
04/14/2006
Last updated
07/08/2007
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