# DR. JAY BHUTA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962951293
- **Authorized official:** JAY BHUTA DPM (OWNER)
- **Authorized official phone:** (732) 532-3668

## Contact information

- **Practice address:** 225 MILLBURN AVE STE 104B, MILLBURN, NJ 07041-1712
- **Practice address phone:** (732) 532-3668
- **Practice address fax:** (973) 577-4003
- **Mailing address:** 43 PINE BLVD, CEDAR KNOLLS, NJ 07927-1212
- **Mailing address phone:** (973) 525-3129
- **Mailing address fax:** (973) 994-1970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00325500 | NJ | Yes |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 03/17/2018