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Summer Kortbaoui

NPI 1417764887 · on the registry since 2024 · sole proprietor

Practice

Address
1591 Springfield Ave
Cranford, NJ 07016
Phone
(908) 451-6187

Registry record

Primary taxonomy
163WX0002X
163WX0002X
Also registered as
163WX0002X
163WX0002X
163WX0002X
163WX0002X
163WX0002X
Licence states on file
AK, CA, NJ, PA, TX, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey