Mr. Kouji Kikuyama, PHYSICIANASSISTANT
Mr. Kouji Kikuyama, PHYSICIANASSISTANT is a Physician Assistant in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
201 Lyons AveNewark, NJ 07112-2027
Phone: (973) 926-7000
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 25MP00717400 (NJ) |
|---|
Record details
| NPI number | 1396474508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | June 6, 2022 |
| Last updated in NPPES | April 30, 2024 |
| Certification date | April 30, 2024 |
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