Provider Demographics
NPI:1275656290
Name:KAISER, VICTORIA KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:KATHERINE
Last Name:KAISER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 ROUTE #23
Mailing Address - Street 2:
Mailing Address - City:STOCKHOLM
Mailing Address - State:NJ
Mailing Address - Zip Code:07460-1304
Mailing Address - Country:US
Mailing Address - Phone:973-697-5440
Mailing Address - Fax:
Practice Address - Street 1:2739 ROUTE #23
Practice Address - Street 2:
Practice Address - City:STOCKHOLM
Practice Address - State:NJ
Practice Address - Zip Code:07460-1304
Practice Address - Country:US
Practice Address - Phone:973-697-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01615300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist