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Contact Information

KATHLEEN M CROLL
1868 HOOPER AVE STE 6
TOMS RIVER, NJ08753-8175
 Phone: 848-223-7120
 Fax: 732-349-6919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHLEEN M CROLL · (Female)

NPI Number 1376175166
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2020
Last updated 12/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 059922-23
  • NJ License # 26NJ01043211
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • 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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