Jethwa, Kusum Anil

Jethwa, Kusum Anil is an individual health care provider with primary practice located at 117 Westfield Ave , Elizabeth NJ 07208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jethwa, Kusum Anil can be contacted via phone (908) 354-1400.

Contact Information

Primary practice address
117 Westfield Ave Elizabeth NJ 07208
Fax: (908) 354-1400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA27756 New Jersey

Profile Details

NPI number 1578679544
LBN Legal business name Jethwa, Kusum Anil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1578679544 NPPES
New Jersey MEDICAID 1529200

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