Organization
EASTON MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYKUTTY K KURIAKOSE MD (PHYSICIAN)
(732) 354-0159
Entity
Organization
Contact information
Practice address
1174 EASTON AVE, SOMERSET, NJ 08873-1693
(732) 354-0159
(732) 354-0147
Mailing address
1174 EASTON AVE, SOMERSET, NJ 08873-1693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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