Jethwa, Kusum Anil
Jethwa, Kusum Anil is an individual health care provider with primary practice located at 117 Westfield Ave , Elizabeth NJ 07208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jethwa, Kusum Anil can be contacted via phone (908) 354-1400.Contact Information
Primary practice address
117 Westfield Ave
Elizabeth NJ 07208
Phone: (908) 354-1400
Fax: (908) 354-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA27756 | New Jersey |
Profile Details
| NPI number | 1578679544 |
|---|---|
| LBN Legal business name | Jethwa, Kusum Anil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578679544 | NPPES |
| New Jersey | MEDICAID | 1529200 |
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