Active NPIIndividual provider

Therese C Kichuk, MD

Student in an Organized Health Care Education/Training Program in Princeton, New Jersey

NPI Number1205638566
Practice location
72 Clearview Ave, Princeton, NJ 08540-3920
Fax
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Last updated
March 26, 2025

Therese C Kichuk is a Student in an Organized Health Care Education/Training Program based in Princeton, NJ. Therese C Kichuk practices in Princeton, NJ and has the professional credentials of MD. The NPI Number for Therese C Kichuk is 1205638566. The current practice location address for Therese C Kichuk is 72 Clearview Ave, Princeton, NJ 08540-3920 and can be reached out via phone at 602-463-4461.

Provider Profile Details

NPI Number
1205638566
Provider Name
Therese C Kichuk
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
72 Clearview Ave, Princeton, NJ 08540-3920
Phone Number
602-463-4461
Sole Proprietor
No
Provider Enumeration Date
March 26, 2025
Last Update Date
March 26, 2025
Certification Date
March 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Clearview Ave
Princeton, NJ 08540-3920
Zip
08540-3920
Phone Number
602-463-4461
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
72 Clearview Ave
Princeton, NJ 08540-3920
City
Princeton
State
NJ
Zip
08540-3920
Phone Number
602-463-4461

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Therese C Kichuk, MD?

The NPI number of Therese C Kichuk, MD is 1205638566. It was assigned on March 26, 2025 and is currently active in the NPPES registry.

What is the specialty of Therese C Kichuk, MD?

Therese C Kichuk, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Therese C Kichuk, MD practice?

The practice location is 72 Clearview Ave, Princeton, NJ 08540-3920. The office can be reached at 602-463-4461 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205638566 directly on the NPPES registry website.

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