Thomas Andrew Kedersha in Wall - Specialist
Thomas Andrew Kedersha - NPI 1609957976
Thomas Andrew Kedersha is a Specialist in Wall, New Jersey. Thomas Andrew Kedersha practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas Andrew Kedersha is 1609957976. The last update date is 2007-07-09.
Thomas Andrew Kedersha's current location address is 3403 W Hurley Pond Rd, Wall, New Jersey. You can contact this provider via phone number 7326810805 and fax number 7326813426. The mailing address for Thomas Andrew Kedersha is 3403 W Hurley Pond Rd, Wall, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Andrew Kedersha |
|---|---|
| Address | 3403 W Hurley Pond Rd, Wall, New Jersey |
| Phone Number | 7326810805 |
| Fax Number | 7326813426 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609957976 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3403 W Hurley Pond Rd |
|---|---|
| City | Wall |
| State | New Jersey (NJ) |
| Post Code | 77199606 |
| Phone Number | 7326810805 |
| Fax Number | 7326813426 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA37819 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Thomas Andrew Kedersha by the Centers for Medicare & Medicaid Services?
The Thomas Andrew Kedersha has been assigned the NPI (National Provider Identifier) 1609957976. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thomas Andrew Kedersha?
The Thomas Andrew Kedersha is physically situated at 3403 W Hurley Pond Rd, in the city of Wall, state of NJ, with the postal code 77199606.
What is Thomas Andrew Kedersha's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas Andrew Kedersha is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Thomas Andrew Kedersha receive its 1609957976 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Andrew Kedersha was assigned its 1609957976 by the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information pertaining to Thomas Andrew Kedersha most recently updated or revised?
The details related to Thomas Andrew Kedersha, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.