Provider Demographics
NPI:1306809595
Name:KUCHAR, ELIZABETH M (MBA, ATC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:M
Last Name:KUCHAR
Suffix:
Gender:F
Credentials:MBA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2727
Mailing Address - Country:US
Mailing Address - Phone:732-713-0160
Mailing Address - Fax:
Practice Address - Street 1:333 COLFAX AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1701
Practice Address - Country:US
Practice Address - Phone:973-420-2524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer