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Search › New Jersey › 152W00000X

Ketan Kutlerywala, OD

NPI 1497861033 · on the registry since 2006

Practice

Address
63 W Pleasant Ave
Maywood, NJ 07607
Phone
(201) 845-4700
Organisation at this address
Innovision Optometry Nj Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152W00000X
Licence states on file
NJ, TX, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-29

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