Most Relevant Information
Provider Data
| NPI Number: | 1003636697 |
| Provider Name: | KENNETH L PEARCE |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 31TD00357400 |
Most Important Dates
| Enumeration Date: | 10/16/2024 |
| Last Updated: | 10/16/2024 |
Provider Practice Location
290 STATE ROUTE 18
EAST BRUNSWICK
NJ
088161995
Practice Location Phone/Fax
| Phone: | 7323871060 |
| Fax: | 7322541636 |
Provider Mailing Location
19 YORK DR
HELMETTA
NJ
088281160
Provider Mailing Phone/Fax
| Phone: | 7327541639 |
| Fax: |