Provider Demographics
NPI:1710692629
Name:CUTSFORTH, CLARENCE (DSC)
Entity Type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:
Last Name:CUTSFORTH
Suffix:
Gender:M
Credentials:DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COMMONS WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2936
Mailing Address - Country:US
Mailing Address - Phone:949-289-1273
Mailing Address - Fax:
Practice Address - Street 1:100 COMMONS WAY STE 250
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2936
Practice Address - Country:US
Practice Address - Phone:949-289-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No171400000XOther Service ProvidersHealth & Wellness Coach
No175L00000XOther Service ProvidersHomeopath