Provider Demographics
NPI:1487811055
Name:CARDAMONE, KRISTEN ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ELIZABETH
Last Name:CARDAMONE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:140 PARK AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1049
Mailing Address - Country:US
Mailing Address - Phone:973-718-5800
Mailing Address - Fax:973-829-4332
Practice Address - Street 1:140 PARK AVE FL 3
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1049
Practice Address - Country:US
Practice Address - Phone:973-718-5800
Practice Address - Fax:973-829-4332
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2019-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236476208100000X
NJ25MB08560100208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9409384OtherAETNA
NJ464611784OtherHORIZON BCBS NJ