Individual
DR. MICHAEL ROBERT KAMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
Mailing address
222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
(800) 920-9928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09746200
NJ
208600000X
Surgery Physician
MD446454
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365211
—
NJ
05
—
102849080
—
PA
Enumeration date
10/06/2008
Last updated
04/13/2021
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