Healthcare Provider Details

I. General information

NPI: 1215905781
Provider Name (Legal Business Name): DANIEL ANTHONY KUTSCHMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WHITE RD SUITE 111
LITTLE SILVER NJ
07739
US

IV. Provider business mailing address

200 WHITE RD SUITE 111
LITTLE SILVER NJ
07739
US

V. Phone/Fax

Practice location:
  • Phone: 732-530-4088
  • Fax: 732-530-4841
Mailing address:
  • Phone: 732-530-4088
  • Fax: 732-530-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00233700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: