Kutzleb, Judith

Kutzleb, Judith is an individual health care provider with primary practice located at 30 Prospect Ave Hackensack University Medical Center, Hackensack NJ 07601-1914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kutzleb, Judith can be contacted via phone (201) 996-2609.

Contact Information

Primary practice address
30 Prospect Ave Hackensack University Medical Center Hackensack NJ 07601-1914
Phone: (201) 996-2609
Fax: (201) 487-3499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00074100 New Jersey

Profile Details

NPI number 1437112042
LBN Legal business name Kutzleb, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 8th, 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 1437112042 NPPES
New Jersey MEDICAID 0093343

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