Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 036279 | NY |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 3163 | NJ |
NPI | 1073627261 |
---|---|
Provider Name | Dr. Martin Alan Kaminker |
First Address | Somerset, NJ 08873-3904 |
Second Address | Somerset, NJ 08873-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 09/05/2013 |