Individual
DR. RICHARD T KUTNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 693-4445
(201) 762-6109
Mailing address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 693-4445
(201) 762-6109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA10723700
NJ
Other
Enumeration date
01/30/2007
Last updated
02/05/2020
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