Provider Demographics
NPI:1194116525
Name:KURUDI LLC
Entity type:Organization
Organization Name:KURUDI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-486-7710
Mailing Address - Street 1:175 CROSS KEYS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-9263
Mailing Address - Country:US
Mailing Address - Phone:856-753-3368
Mailing Address - Fax:856-753-3367
Practice Address - Street 1:175 CROSS KEYS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009-9263
Practice Address - Country:US
Practice Address - Phone:856-753-3368
Practice Address - Fax:856-753-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102318300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty