Individual
MRS. KUSUM ANIL JETHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 WESTFIELD AVE, ELIZABETH, NJ 07208
(908) 354-1400
(908) 354-1400
Mailing address
117 WESTFIELD AVE, ELIZABETH, NJ 07208
(908) 354-1400
(908) 354-6235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA27756
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529200
—
NJ
Enumeration date
08/22/2006
Last updated
07/08/2007
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