Individual
DR. ANITA A KUBAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 ROUTE 34, SUITE 100, MATAWAN, NJ 07747-3473
(732) 583-0100
(732) 583-0608
Mailing address
1000 ROUTE 34, SUITE 100, MATAWAN, NJ 07747-3473
(732) 583-0100
(732) 583-0608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA39589
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188402
—
NJ
Enumeration date
01/20/2006
Last updated
07/08/2007
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