Provider Demographics
NPI:1114374873
Name:KURTZ, JACK (MD)
Entity type:Individual
Prefix:
First Name:JACK
Middle Name:
Last Name:KURTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35 BEAVERSON BLVD STE 8C
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7861
Mailing Address - Country:US
Mailing Address - Phone:732-451-4202
Mailing Address - Fax:732-481-4668
Practice Address - Street 1:1820 STATE ROUTE 33 STE 4B
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4860
Practice Address - Country:US
Practice Address - Phone:732-776-8500
Practice Address - Fax:732-262-4319
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2024-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA10640000207RA0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology