Provider Demographics
NPI:1508181306
Name:COUTINHO, KARL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:JOSEPH
Last Name:COUTINHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:534 AVENUE E STE 2A
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3987
Practice Address - Country:US
Practice Address - Phone:201-823-1303
Practice Address - Fax:201-823-0094
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09890500208800000X
OH35.127362208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology