Individual
AMIT S KHAROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W MAIN ST, SUITE 107, FREEHOLD, NJ 07728-2537
(732) 308-4202
(732) 308-4212
Mailing address
901 W MAIN ST, SUITE 107, FREEHOLD, NJ 07728-2537
(732) 308-4202
(732) 308-4212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08240200
NJ
208600000X
Surgery Physician
MD068352L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018556980001
—
PA
Enumeration date
10/13/2005
Last updated
01/27/2016
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