Individual
CHARLES JOHN RUTKOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1899 ROUTE 88, BRICK, NJ 08724-3124
(732) 840-8177
Mailing address
1899 ROUTE 88, BRICK, NJ 08724-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11060600
NJ
Other
Enumeration date
04/20/2018
Last updated
06/21/2021
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