| Dr Kevin D Holder, MD | |
|
5 Stanley Rd, South Orange, NJ 07079-2721 | |
| (973) 762-6077 | |
| (973) 762-4331 |
| Full Name | Dr Kevin D Holder |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 5 Stanley Rd, South Orange, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063543254 | NPI | - | NPPES |
| 020614591 | Other | NJ | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04662500 (New Jersey) | Primary |
| Entity Name | Center For Preventative Medicine Of New Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083747299 PECOS PAC ID: 7214840602 Enrollment ID: O20031111000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin D Holder, MD 5 Stanley Rd, South Orange, NJ 07079-2721 Ph: (973) 762-6077 | Dr Kevin D Holder, MD 5 Stanley Rd, South Orange, NJ 07079-2721 Ph: (973) 762-6077 |
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