Individual
JILL KRAFT BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23 MAIN ST STE D1, HOLMDEL, NJ 07733-2136
(732) 571-1000
Mailing address
149 MINERAL SPRING AVE, PASSAIC, NJ 07055-2504
(917) 273-9989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA77026
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036765
—
NJ
Enumeration date
01/30/2006
Last updated
03/22/2022
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