Individual provider · Type 1 NPI

Jerin Jose Koruthu

Surgical Physician Assistant · Staten Island, NY

NPI number 1942778477 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1942778477

Jerin Jose Koruthu's National Provider Identifier is 1942778477, issued on Nov 2, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Nov 2, 2018.