Kenneth Fred Malkin in Caldwell - Podiatrist

Kenneth Fred Malkin - NPI 1760475750

Kenneth Fred Malkin is a Podiatrist in Caldwell, New Jersey. Kenneth Fred Malkin practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kenneth Fred Malkin is 1760475750. The last update date is 2007-07-08.

Kenneth Fred Malkin's current location address is 376 Bloomfield Ave, Caldwell, New Jersey. You can contact this provider via phone number 9732262263 and fax number 9732282013. The mailing address for Kenneth Fred Malkin is 376 Bloomfield Ave, Caldwell, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Fred Malkin
Address 376 Bloomfield Ave, Caldwell, New Jersey
Phone Number 9732262263
Fax Number 9732282013
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1760475750
Provider Enumeration Date 2005-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 376 Bloomfield Ave
City Caldwell
State New Jersey (NJ)
Post Code 70064905
Phone Number 9732262263
Fax Number 9732282013

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 25MD00155800
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
823740001 NJ DMERC
2101009 NJ --

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FAQs about Kenneth Fred Malkin

What is the unique 10-digit identifier code assigned to Kenneth Fred Malkin by the Centers for Medicare & Medicaid Services?

The Kenneth Fred Malkin has been issued the NPI (National Provider Identifier) 1760475750 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kenneth Fred Malkin is physically located?

The Kenneth Fred Malkin is physically situated at the following address: 376 Bloomfield Ave, Caldwell, NJ, 70064905.

What is Kenneth Fred Malkin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenneth Fred Malkin is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760475750 to Kenneth Fred Malkin?

The Centers for Medicare & Medicaid Services originally issued the 1760475750 to Kenneth Fred Malkin on 2005-08-25.

As of what date were the Kenneth Fred Malkin's details last updated?

The information pertaining to the Kenneth Fred Malkin, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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