Provider Demographics
NPI:1235216565
Name:KREITZER, MICHAEL STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEVEN
Last Name:KREITZER
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:99 BEAUVOIR AVENUE
Mailing Address - Street 2:OVERLOOK HOSPITAL 7TH FLR
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901
Mailing Address - Country:US
Mailing Address - Phone:908-608-0300
Mailing Address - Fax:908-608-0401
Practice Address - Street 1:99 BEAUVOIR AVENUE
Practice Address - Street 2:OVERLOOK HOSPITAL 7TH FLR
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901
Practice Address - Country:US
Practice Address - Phone:908-608-0300
Practice Address - Fax:908-608-0401
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02198700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C60869Medicare UPIN