Organization
KDUTT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOMAL DUTT PHD (OWNER)
(732) 979-4682
Entity
Organization
Contact information
Practice address
233 MOUNT AIRY RD, BASKING RIDGE, NJ 07920-2338
(732) 979-4682
Mailing address
28 BEACON CREST DR, BASKING RIDGE, NJ 07920-2937
(732) 979-4682
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5167
NJ
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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