Kartika, Gunawan

Kartika, Gunawan is an individual health care provider with primary practice located at 355 Grand St , Jersey City NJ 07302-4321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kartika, Gunawan can be contacted via phone (201) 915-2485.

Contact Information

Primary practice address
355 Grand St Jersey City NJ 07302-4321
Phone: (201) 915-2485
Fax: (201) 915-2377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MA48381 New Jersey

Profile Details

NPI number 1225030604
LBN Legal business name Kartika, Gunawan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Sep 14th, 2007 - about 17 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 1225030604 NPPES
New Jersey MEDICAID 5161509

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