Individual
MS. JUDITH KUTZLEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK, NJ 07601-1914
(201) 996-2609
(201) 487-3499
Mailing address
30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK, NJ 07601-1914
(201) 996-2609
(201) 487-3499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00074100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093343
—
NJ
Enumeration date
04/07/2006
Last updated
07/08/2007
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