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Individual

KYLE SULZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
649 SHORE RD, SOMERS POINT, NJ 08244-2449
(609) 365-6239
Mailing address
1 E. NEW YORK AVE, 4TH FLOOR ADMIN, SOMERS POINT, NJ 08244
(609) 653-3265
(609) 926-4311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00554800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0754536
NJ
Enumeration date
12/10/2019
Last updated
06/21/2023
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