Most Relevant Information
Provider Data
NPI Number: | 1003345976 |
Provider Name: | FATIMA C KUTTY DO |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/05/2017 |
Last Updated: | 11/07/2022 |
Provider Practice Location
2 BRIGHTON RD
CLIFTON
NJ
070121663
Practice Location Phone/Fax
Phone: | 9734049866 |
Fax: |
Provider Mailing Location
1 DIAMOND HILL RD
BERKELEY HEIGHTS
NJ
079222104
Provider Mailing Phone/Fax
Phone: | |
Fax: |