Individual
KUTUMBA S PITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(732) 244-6743
(732) 244-6917
Mailing address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(732) 244-6743
(732) 244-6917
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA0753800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153300
—
NJ
01
—
4093719
AETNA HC
—
01
—
P421291
OXFORD HC
NJ
Enumeration date
03/22/2006
Last updated
09/22/2008
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