Organization
ANITA A. KUBAL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL COHEN (OFFICE MANAGER)
(732) 583-0100
Entity
Organization
Contact information
Practice address
1000 ROUTE 34, SUITE 100, MATAWAN, NJ 07747-3473
(732) 583-0100
Mailing address
1000 ROUTE 34, SUITE 100, MATAWAN, NJ 07747-3473
(732) 583-0100
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03958900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188402
—
NJ
Enumeration date
01/10/2008
Last updated
01/10/2008
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