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Contact Information

MARC KITROSSER DPM PA
1031 MCBRIDE AVE
WOODLAND PARK, NJ07424
 Phone: 973-256-0002
 Fax: 973-256-3919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARC KITROSSER DPM PA

NPI # 1548421787
LBN Legal business name MARC KITROSSER DPM PA
Authorized official MARC KITROSSER - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2008
Last updated 09/04/2008 - About 18 years ago
Identifiers
NJ License # 25MD001115
NJ License # 25MD002932
NJ Medicaid 3050807
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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