Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | NJ007775 | NJ |
Y | 213EG0000X | General Practice | NJ007775 | NJ |
NPI | 1003923749 |
---|---|
Provider Name | Dr. Michael M Kay |
First Address | Browns Mills, NJ 08015-0122 |
Second Address | Browns Mills, NJ 08015-3127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 08/07/2007 |