Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 40QA016113000 | NJ |
NPI | 1205209178 |
---|---|
Provider Name | Dr. Matthew Kaiser |
First Address | Turnersville, NJ 08012-2220 |
Second Address | Cherry Hill, NJ 08003-2334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |