Individual
MARTHA C KUTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2403
Mailing address
102 HAMILTON RD, RIDGEWOOD, NJ 07450-1103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210243
NY
2080P0203X
Pediatric Critical Care Medicine Physician
25MA06419300
NJ
Other
Enumeration date
01/31/2006
Last updated
06/24/2020
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