Individual
DR. SAMUEL CARRUTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
485 PARK AVE, ORANGE, NJ 07050-1721
(973) 672-2770
(973) 672-2770
Mailing address
25 SALTER PL, MAPLEWOOD, NJ 07040-2629
(973) 762-2562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07029000
NJ
Other
Enumeration date
05/25/2006
Last updated
04/29/2020
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