Individual
CLARINA KUNNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
854 GARDEN ST, UNION, NJ 07083-6521
(908) 937-4267
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00399600
NJ
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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