Alan J Klukowicz


Address: 62 S Fullerton Ave, Montclair, NJ 07042-2676

Alan J Klukowicz (NPI# 1912959685, PAC ID# 1153411350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.

Physician Overview

Nation Provider ID (NPI) 1912959685
PAC ID by PECOS 1153411350
Professional Enrollment ID I20071212000000
Full Name Alan J Klukowicz
Address 62 S Fullerton Ave
Montclair
NJ 07042-2676
Gender M
Medical School UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 1981
Primary Specialty PULMONARY DISEASE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310054 HACKENSACKUMC MOUNTAINSIDE
310096 SAINT MICHAEL'S MEDICAL CENTER

Other Locations

Address Phone Organization
62 S Fullerton Ave, Montclair, NJ 07042-2676
111 Central Ave, Newark, NJ 07102-2011 9738775493 RICHMAR MEDICAL ASSOCIATES
111 Central Ave, Newark, NJ 07102-1909 9738775493 PULMONARY AND CRITICAL CARE ASSOCIATES

Organization Information

Office Location

Street Address 62 S FULLERTON AVE
City MONTCLAIR
State NJ
Zip 07042-2676

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Competitor

Search similar physicians

City MONTCLAIR
Zip Code 07042
Specialty PULMONARY DISEASE
City + Specialty MONTCLAIR + PULMONARY DISEASE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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