Pitta, Kutumba S
Pitta, Kutumba S is an sole proprietor health care provider with primary practice located at 1868 Hooper Ave , Toms River NJ 08753-8175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Pitta, Kutumba S can be contacted via phone (732) 244-6743.Contact Information
Primary practice address
1868 Hooper Ave
Toms River NJ 08753-8175
Phone: (732) 244-6743
Fax: (732) 244-6917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 25MA0753800 | New Jersey |
Profile Details
| NPI number | 1104885656 |
|---|---|
| LBN Legal business name | Pitta, Kutumba S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Sep 22nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104885656 | NPPES |
| New Jersey | Other | P421291 | OXFORD HC |
| New Jersey | Other | 4093719 | OXFORD HC |
| New Jersey | MEDICAID | 153300 | OXFORD HC |
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