Provider Demographics
NPI:1760699474
Name:GEDROIC, KRISTINE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:LYNN
Last Name:GEDROIC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1200 MOUNT KEMBLE AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8008
Mailing Address - Country:US
Mailing Address - Phone:973-993-4445
Mailing Address - Fax:973-993-4942
Practice Address - Street 1:1200 MOUNT KEMBLE AVE STE 350
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8008
Practice Address - Country:US
Practice Address - Phone:973-993-4445
Practice Address - Fax:973-993-4942
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08152100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine