# HIRAK GUHA MDPA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HIRAK GUHA MDPA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134462245
- **Legal business name:** HIRAK GUHA MDPA
- **Authorized official:** DR. HIRAK GUHA MD (PRESIDENT)
- **Authorized official phone:** (732) 548-0122

## Contact information

- **Practice address:** 44 ROUTE 27, EDISON, NJ 08820-3978
- **Practice address phone:** (732) 548-0122
- **Practice address fax:** (732) 548-2346
- **Mailing address:** 44 ROUTE 27, EDISON, NJ 08820-3978
- **Mailing address phone:** (732) 548-0122
- **Mailing address fax:** (732) 548-2346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 25MA03094200 | NJ | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 25MA03094200 | NJ | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013