Kitrosser, Marc

Kitrosser, Marc is an individual health care provider with primary practice located at 1031 Mcbride Ave Suite D105, Woodland Park NJ 07424-2559. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kitrosser, Marc can be contacted via phone (973) 256-0002.

Contact Information

Primary practice address
1031 Mcbride Ave Suite D105 Woodland Park NJ 07424-2559
Fax: (973) 256-3919
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD01115 New Jersey

Profile Details

NPI number 1922035575
LBN Legal business name Kitrosser, Marc
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 29th, 2012 - about 12 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 1922035575 NPPES
New Jersey MEDICAID 3050807

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