Zetkulic, Marygrace
Zetkulic, Marygrace is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Zetkulic, Marygrace can be contacted via phone (732) 745-8600.Contact Information
Primary practice address
254 Easton Ave
New Brunswick NJ 08901-1766
Phone: (732) 745-8600
Fax: (732) 745-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA67087 | New Jersey |
Profile Details
| NPI number | 1669422762 |
|---|---|
| LBN Legal business name | Zetkulic, Marygrace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 1st, 2019 - about 6 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 | 1669422762 | NPPES |
| New Jersey | Other | 110209779 | RAILROAD MEDICARE |
| New Jersey | MEDICAID | 8447306 | RAILROAD MEDICARE |
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