Individual provider · Type 1 NPI

Jolly M. Kuruvilla

Adult Medicine Physician · West Orange, NJ

NPI number 1487267480 Active

Practice location

375 Mount Pleasant Ave
West Orange, NJ 07052-2750

Mailing address

94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668

Other practice locations

  • 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 · (973) 322-5000

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X26NJ01048600 (NJ)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

43 other providers at this address

About NPI 1487267480

Jolly M. Kuruvilla's National Provider Identifier is 1487267480, issued on Aug 28, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in West Orange, NJ. The record was last updated on Aug 28, 2020.