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Contact Information

KENNETH B HARRIS, MD
444 NEPTUNE BLVD
NEPTUNE CITY, NJ07753-4144
 Phone: 732-775-5300
 Fax: 732-775-1737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNETH B HARRIS · (Male)

NPI Number 1861492027
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 09/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07377200
  • NJ Medicaid 8880000
  • NJ Other 2945805 AETNA
  • NJ Other 9149071103 CIGNA
  • NJ Other 501P31 EMPIRE BLUE CROSS
  • NJ Other 2K2616 HEALTH NET
  • NJ Other 1034358 MERCY HEALTH
  • NJ Other P2654381 OXFORD
  • NJ Other 110236137 RAILROAD MEDICARE
  • NJ Other 2227377 UNITED HEALTHCARE
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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