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Contact Information

JAIME KAWEBLUM, DO
1771 MADISON AVE
LAKEWOOD TOWNSHIP, NJ08701
 Phone: 732-364-2144
 Fax: 732-364-3559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAIME KAWEBLUM · (Male)

NPI # 1164534798
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/31/2006
Last updated 08/20/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB07684700
  • NJ Medicaid 0033740
Hospital affiliation(s) Not Available
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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