Individual
JANE KUTSOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
130 S MAIN ST, UNIT 4, MARLBORO, NJ 07746-2477
(732) 252-6555
(732) 312-5249
Mailing address
130 S MAIN ST, UNIT 4, MARLBORO, NJ 07746-2477
(732) 252-6555
(732) 312-5249
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00584200
NJ
152W00000X
Optometrist
TUV 006545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02331271
—
NY
01
—
08204G
GHI MEDICARE
NY
Enumeration date
09/16/2006
Last updated
05/02/2016
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