Dutkowsky, Charles J

Dutkowsky, Charles J is an individual health care provider with primary practice located at 106 Grand Avenue North Jersey Orthopaedic Specialists, Englewood NJ 07631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Dutkowsky, Charles J can be contacted via phone (201) 608-0100.

Contact Information

Primary practice address
106 Grand Avenue North Jersey Orthopaedic Specialists Englewood NJ 07631
Phone: (201) 608-0100
Fax: (201) 608-0104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MB04460200 New Jersey

Profile Details

NPI number 1477573798
LBN Legal business name Dutkowsky, Charles J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477573798 NPPES
New Jersey MEDICAID 60018475

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