Individual
DR. JOLLY M KURUVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2750
(973) 668-1577
Mailing address
94 OLD SHORT HILLS RD STE 1, LIVINGSTON, NJ 07039-5668
(973) 322-8010
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
26NJ01048600
NJ
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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