Lutz, Philip

Lutz, Philip is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lutz, Philip can be contacted via phone (800) 720-1664.

Contact Information

Primary practice address
1 Bay Ave Montclair NJ 07042-4837
Phone: (800) 720-1664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA50393 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME142797 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MA50393 New Jersey

Profile Details

NPI number 1275539645
LBN Legal business name Lutz, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 8th, 2021 - about 4 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 1275539645 NPPES
New Jersey MEDICAID 4864808

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