Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MA033567 | NJ |
NPI | 1083710842 |
---|---|
Provider Name | William W Kessler |
First Address | Elizabeth, NJ 07202-3625 |
Second Address | Elizabeth, NJ 07202-3625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 26/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0563706 | (05) | NJ |
D18833 | (02) | NJ |