Kenneth A Liss DO

NPI 1033125315 - Internal Medicine - 207R00000X

NPI Details
NPI 1033125315
Gender Male
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6 INDUSTRIAL WAY W
ST B HYPERTENSION & NEPHROLOGY ASSOC
EATONTOWN NJ, 07724-2268, US
Phone (732) 460-1200
Fax (732) 460-1211
Business Location
6 INDUSTRIAL WAY W
ST B HYPERTENSION & NEPHROLOGY ASSOC
EATONTOWN NJ, 07724-2268, US
Phone (732) 460-1200
Fax (732) 460-1211
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number MB63803
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According to our database, Dr. Kenneth A Liss DO NPI is 1033125315, taxonomy code is 207R00000X and license number is MB63803, license state is located at New Jersey. Kenneth A Liss DO physically located at 6 Industrial Way W, Eatontown NJ, 07724-2268. NPI Number Kenneth A Liss DO has the Individual type.

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1033125315 NPI number is provided on an as is basis without warranty of any kind. 1033125315 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Liss DO are for informational purposes only.