Individual
CALUTHA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 FRANKLIN STREET, 2ND FL SUITE 3, BLOOMFIELD, NJ 07003-3491
(973) 399-1500
(973) 488-7149
Mailing address
340 FRANKLIN STREET, 2ND FL SUITE 3, BLOOMFIELD, NJ 07003-3491
(973) 399-1500
(973) 488-7149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR08632500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6095840200
—
NJ
Enumeration date
02/22/2018
Last updated
05/20/2020
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