Krutyansky, Susan

Krutyansky, Susan is an individual health care provider with primary practice located at 450 Main St , Metuchen NJ 08840-1800. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Krutyansky, Susan can be contacted via phone (732) 452-0222.

Contact Information

Primary practice address
450 Main St Metuchen NJ 08840-1800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI20201 New Jersey

Profile Details

NPI number 1215002878
LBN Legal business name Krutyansky, Susan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 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 1215002878 NPPES
New Jersey MEDICAID 7671105

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