Individual
KRISTEN POLENTARUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
195 US HIGHWAY 46 STE 100, MINE HILL, NJ 07803-3163
(973) 366-7330
Mailing address
1130 MCBRIDE AVE FL 3, WOODLAND PARK, NJ 07424-3806
(973) 785-2277
(973) 785-2355
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00530100
NJ
Other
Enumeration date
07/07/2019
Last updated
03/26/2025
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