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Individual

DR. CAROLE FILOWITZ LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34 MOUNTAIN BLVD, WARREN, NJ 07059-2640
(908) 769-0100
(908) 769-2512
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 561-8600
(908) 561-7265

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06663300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1K6522
HEALTHNET PROVIDER #
NJ
01
2355288
AETNA US HEALTHCARE
NJ
01
7149131
AETNA PROVIDER #
NJ
Enumeration date
06/13/2006
Last updated
07/10/2019
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