MICHAEL THEODORE KICENUIK

NEW BRUNSWICK, NJ
NPI1487652988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NJ  25MA03343200)
Enumeration Date2005-07-08
Last Update Date2008-09-10
Business Address
-- MICHAEL THEODORE KICENUIK MD
254 EASTON AVENUE WOMEN'S HEALTH -CARES BUILDING 3 RD FLOOR
NEW BRUNSWICK, NJ 08901
Phone number: 732-937-6003
Mailing Address
-- MICHAEL THEODORE KICENUIK MD
51 GEIGER LANE
WARREN, NJ 07059-5641
Phone number: 732-718-7108
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