Klukowicz, Alan J
Klukowicz, Alan J is an sole proprietor health care provider with primary practice located at 62 S Fullerton Ave , Montclair NJ 07042-2629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Klukowicz, Alan J can be contacted via phone (973) 844-3720.Contact Information
Primary practice address
62 S Fullerton Ave
Montclair NJ 07042-2629
Phone: (973) 844-3720
Fax: (973) 844-3724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA042635 | New Jersey |
Profile Details
| NPI number | 1912959685 |
|---|---|
| LBN Legal business name | Klukowicz, Alan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Feb 28th, 2008 - about 18 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 | 1912959685 | NPPES |
| New Jersey | MEDICAID | 1293508 |
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