Individual
DR. KETAN HARSHADRAY KUTLERYWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
63 W PLEASANT AVE, MAYWOOD, NJ 07607-1334
(201) 845-4700
Mailing address
310 WINDSOR HWY, NEW WINDSOR, NY 12553-6908
(845) 541-9689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00699500
NJ
152W00000X
Optometrist
6818T
TX
152W00000X
Optometrist
Primary
7391
NY
Other
Enumeration date
08/23/2006
Last updated
10/29/2020
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