Provider Demographics
NPI:1467753020
Name:WURZBURG, KIRSTEN (DVM)
Entity Type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:
Last Name:WURZBURG
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 STRYKERS RD.
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-213-1200
Mailing Address - Fax:908-213-1201
Practice Address - Street 1:200 STRYKERS RD.
Practice Address - Street 2:SUITE 2
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-213-1200
Practice Address - Fax:908-213-1201
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100557400174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian