Individual
JEANETTE M KOVTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 538-5210
(973) 644-9657
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA11920500
NJ
207RH0003X
Hematology & Oncology Physician
309942
LA
Other
Enumeration date
06/10/2013
Last updated
10/13/2023
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