Basic Information
| Provider Information | |||||||||
| NPI: | 1316927734 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAIRYS | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 THISTLE LN | ||||||||
| Address2: | |||||||||
| City: | HOLMDEL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077331200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327762411 | ||||||||
| FaxNumber: | 7327763161 | ||||||||
| Practice Location | |||||||||
| Address1: | 1945 CORLIES AVE | ||||||||
| Address2: | |||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077534859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327762411 | ||||||||
| FaxNumber: | 7327763161 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 25MA06770600 | NJ | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.