SearchNew Jersey363A00000X

Christopher Kiesow, PA-C

NPI 1356323851 · on the registry since 2005

Practice

Address
3458 Neely Rd
305th Medical Group
Mc Guire Afb, NJ 08641
Phone
(609) 754-9146
Fax
(609) 754-9662
Organisation at this address
87th Medgrp-Jb Mcguire-Dix-Lakehurst
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey