Kuriakose, Marykutty

Kuriakose, Marykutty is an individual health care provider with primary practice located at 1174 Easton Ave , Somerset NJ 08873-1611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kuriakose, Marykutty can be contacted via phone (732) 354-0159.

Contact Information

Primary practice address
1174 Easton Ave Somerset NJ 08873-1611
Fax: (732) 354-0147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA39482 New Jersey

Profile Details

NPI number 1194738369
LBN Legal business name Kuriakose, Marykutty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 11th, 2016 - about 8 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 1194738369 NPPES
New Jersey MEDICAID 1625306

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