Individual
DR. MARYKUTTY KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1174 EASTON AVE, SOMERSET, NJ 08873-1611
(732) 354-0159
(732) 354-0147
Mailing address
1174 EASTON AVE, SOMERSET, NJ 08873-1611
(732) 354-0159
(732) 354-0147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA39482
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625306
—
NJ
Enumeration date
08/15/2006
Last updated
01/11/2016
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