Individual
DOUGLAS A HUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 CRANBURY RD, STE 1A, EAST BRUNSWICK, NJ 08816
(732) 613-8880
(732) 613-0077
Mailing address
593 CRANBURY RD, STE 1A, EAST BRUNSWICK, NJ 08816
(732) 613-8880
(732) 613-0077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04602900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA04602900
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA046029
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650307
—
NJ
01
—
533777
AETNA USHC
NJ
01
—
LS104
OXFORD
NJ
Enumeration date
10/12/2006
Last updated
04/17/2024
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