Provider Demographics
NPI:1871799270
Name:HYMAN, KRISTIN LEPORE (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:LEPORE
Last Name:HYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:NOELLE
Other - Last Name:LEPORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3001
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-0598
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:123 EGG HARBOR RD
Practice Address - Street 2:TOWER COMMONS AT FIVE POINTS, SUITE 206
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9406
Practice Address - Country:US
Practice Address - Phone:856-227-5437
Practice Address - Fax:856-227-5890
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090542208000000X
NJ25MA08997600208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics