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Organization

MARC KITROSSER DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC KITROSSER DPM (PODIATRIST)
(973) 256-0002
Entity
Organization

Contact information

Practice address
1031 MCBRIDE AVE, WEST PATERSON, NJ 07424
(973) 256-0002
(973) 256-3919
Mailing address
1031 MCBRIDE AVE, WEST PATERSON, NJ 07424
(973) 256-0002
(973) 256-3919

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD001115
NJ
213E00000X
Podiatrist
25MD002932
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3050807
NJ
Enumeration date
06/20/2008
Last updated
09/04/2008
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