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Individual
DR. SUBHASH MEHTA
Active
Individual
DR. SUBHASH MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MA03590200
NJ
207R00000X
Internal Medicine Physician
Primary
MA03590200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2991802
—
NJ
01
—
445113356
RAILROAD MEDICARE
NJ
Enumeration date
11/10/2005
Last updated
02/19/2010
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