Provider Demographics
NPI:1225884828
Name:KNJ PROPERTIES LLC
Entity type:Organization
Organization Name:KNJ PROPERTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-641-3759
Mailing Address - Street 1:10308 OLD OCEAN CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1132
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10231 OLD OCEAN CITY BLVD STE 208
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-3568
Practice Address - Country:US
Practice Address - Phone:410-641-3759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELMARVA SPINE AND PAIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty