Individual provider · Type 1 NPI
Michael Edwin Kafrissen, MD
General Practice Physician · Raritan, NJ
NPI number
1619205929
Active
Practice location
1000 Route 202
Raritan, NJ 08869-1425
Fax (908) 218-0460
Mailing address
PO Box 165
Gladstone, NJ 07934-0165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD017180E (PA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1619205929
Michael Edwin Kafrissen, MD's National Provider Identifier is 1619205929, issued on Nov 24, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Raritan, NJ. The record was last updated on Nov 24, 2009.