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Individual
SHUBHANGI J THAKUR
Active
Individual
SHUBHANGI J THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA41241
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068001
—
NJ
01
—
31D124217
CLIA NUMBER
NJ
01
—
D035137
CDS NUMBER
NJ
Enumeration date
09/01/2006
Last updated
12/29/2010
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