Individual
DR. JILL H. KINGSLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
772 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1100
(973) 325-0002
(973) 376-6447
Mailing address
24 SLAYTON DR, SHORT HILLS, NJ 07078-1537
(201) 306-6346
(973) 376-6447
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05568800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000191
—
NJ
Enumeration date
06/26/2006
Last updated
02/05/2014
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