Individual
MR. DANIEL WILLIAM KISTNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 BRIGHTON RD, CLIFTON, NJ 07012-1647
(973) 777-7911
(862) 660-7038
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NR15967000
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00824700
NJ
Other
Enumeration date
05/29/2018
Last updated
07/17/2023
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