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Organization
TUSHARKUMAR N MISTRY MD LLC
Active
Organization
TUSHARKUMAR N MISTRY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUSHARKUMAR N MISTRY MD (OWNER)
(732) 679-4200
Entity
Organization
Contact information
Practice address
8 COUNTY ROAD 520 STE A, ENGLISHTOWN, NJ 07726-8478
(732) 679-4200
(732) 851-4632
Mailing address
28 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2558
(732) 679-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07930800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075850
—
NJ
Enumeration date
10/26/2007
Last updated
10/04/2023
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