Individual
ALAN J KLUKOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 S FULLERTON AVE, MONTCLAIR, NJ 07042-2629
(973) 844-3720
(973) 844-3724
Mailing address
PO BOX 524, BELLEVILLE, NJ 07109-0524
(973) 844-3720
(973) 844-3724
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA042635
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1293508
—
NJ
Enumeration date
05/17/2006
Last updated
02/28/2008
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