Provider Demographics
NPI:1801004114
Name:KIKEN, DAVID ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ADAM
Last Name:KIKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:205 RIDGEDALE AVE
Mailing Address - Street 2:SUITE A3
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1349
Mailing Address - Country:US
Mailing Address - Phone:973-301-9500
Mailing Address - Fax:973-301-0435
Practice Address - Street 1:205 RIDGEDALE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1349
Practice Address - Country:US
Practice Address - Phone:973-301-9500
Practice Address - Fax:973-301-0435
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA89501207N00000X
NY233992-1207N00000X
NJ25MA0837050207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology