Provider Demographics
NPI:1043305493
Name:FLESS, KRISTIN GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:GAIL
Last Name:FLESS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:164 GLENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1136
Mailing Address - Country:US
Mailing Address - Phone:973-763-6384
Mailing Address - Fax:973-763-6173
Practice Address - Street 1:94 OLD SHORT HILLS RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-2924
Practice Address - Fax:973-322-8410
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06455300207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine