Individual
JOSEPH E. KERNIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 TOWNSEND AVE, BERLIN, NJ 08009-9011
(856) 322-3260
(856) 322-3061
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA46639
NJ
207P00000X
Emergency Medicine Physician
MD040706E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011968430002
—
PA
01
—
0421620000
KEYSTONE IBC
PA
05
—
0944602
—
NJ
01
—
1090254
KEYSTONE MERCY
PA
01
—
45279
AETNA CONTRACTED
PA
01
—
599214
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/01/2006
Last updated
05/15/2012
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