Individual
AFFIONG K UTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, COOPER ANESTHESIA ASSOCIATES, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NR059295
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00107770500
AMERICHOICE
NJ
Enumeration date
05/19/2006
Last updated
06/16/2008
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