Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 38MC00315300 | NJ |
NPI | 1285677724 |
---|---|
Provider Name | Howard S Kessler |
First Address | Hillsdale, NJ 07642-2040 |
Second Address | Hillsdale, NJ 07642-2040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 22/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5168902 | (05) | NJ |