Basic Information
Provider Information
NPI: 1033556766
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRESSLER
FirstName: WILLIAM
MiddleName: ALLEN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 46 CROWN RD
Address2:  
City: EWING
State: NJ
PostalCode: 086381425
CountryCode: US
TelephoneNumber: 6098833976
FaxNumber:  
Practice Location
Address1: 46 CROWN RD
Address2:  
City: EWING
State: NJ
PostalCode: 086381425
CountryCode: US
TelephoneNumber: 6098833976
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/04/2013
LastUpdateDate: 06/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X25MA01639400NJY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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