NPI 1063266138

Kevin John

Practitioner Medical Physician Assistant Dover, NJ

Practice location

Address: 400 W Blackwell St, Dover, NJ 07801-2525
Phone: (201) 779-4473
Mailing address: 155 3rd St, Bergenfield, NJ 07621-1439

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1063266138
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2024
Record last updated: 15 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.