Provider Demographics
NPI:1497723092
Name:AYGEN, KADRI MEHMET (MD)
Entity Type:Individual
Prefix:DR
First Name:KADRI
Middle Name:MEHMET
Last Name:AYGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:530 E MAIN ST
Mailing Address - Street 2:PO BOX 632
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2669
Mailing Address - Country:US
Mailing Address - Phone:908-879-4300
Mailing Address - Fax:908-879-8956
Practice Address - Street 1:530 E MAIN ST
Practice Address - Street 2:SUITE 4 A
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2669
Practice Address - Country:US
Practice Address - Phone:908-879-4300
Practice Address - Fax:908-879-8956
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07104900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics