Individual
EDWARD J KUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
733 RIVER ROAD, FAIR HAVEN, NJ 07704-3311
(732) 747-9090
(732) 747-2102
Mailing address
733 RIVER ROAD, FAIR HAVEN, NJ 07704-3311
(732) 747-9090
(732) 747-2102
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
8216
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6271201
—
NJ
Enumeration date
05/28/2008
Last updated
05/28/2008
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