| Kenneth Anolik M.d., Llc | |
|
320 Raritan Ave Suite 205 Highland Park NJ 08904-2752 | |
| (732) 985-6901 | |
| (732) 985-6931 |
| Full Name | Kenneth Anolik M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Raritan Ave, Highland Park, New Jersey |
| Authorized Official Name and Position | Kenneth Anolik (OWNER) |
| Authorized Official Contact | 7329856901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Anolik M.d., Llc 320 Raritan Ave Suite 205 Highland Park NJ 08904-2752 Ph: (732) 985-6901 | Kenneth Anolik M.d., Llc 320 Raritan Ave Suite 205 Highland Park NJ 08904-2752 Ph: (732) 985-6901 |
| NPI Number | 1457675951 |
|---|---|
| Provider Enumeration Date | 03/26/2010 |
| Last Update Date | 03/26/2010 |
| Medicare PECOS PAC ID | 2264569060 |
|---|---|
| Medicare Enrollment ID | O20100428000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457675951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07820600 (New Jersey) | Primary |
| Provider Name | Kenneth Anolik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134197254 PECOS PAC ID: 7012817331 Enrollment ID: I20041210000581 |
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