Individual
CHARLES J DUTKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
106 GRAND AVENUE, NORTH JERSEY ORTHOPAEDIC SPECIALISTS, ENGLEWOOD, NJ 07631
(201) 608-0100
(201) 608-0104
Mailing address
730 PALISADE AVE, TEANECK, NJ 07666-3144
(201) 353-9000
(201) 530-0003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB04460200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60018475
—
NJ
Enumeration date
07/20/2006
Last updated
01/10/2012
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