Provider Demographics
NPI:1114773736
Name:PRINCE, ARIANNA REBECCA KIGNER (MD)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:REBECCA KIGNER
Last Name:PRINCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:REBECCA
Other - Last Name:KIGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:185 S ORANGE AVE BLDG RME-506
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2757
Mailing Address - Country:US
Mailing Address - Phone:973-972-3574
Mailing Address - Fax:973-972-4574
Practice Address - Street 1:185 S ORANGE AVE BLDG RME-506
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2757
Practice Address - Country:US
Practice Address - Phone:973-972-3574
Practice Address - Fax:973-972-4574
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program