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Individual

DR. MAHESH H BHAGAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
66 W GILBERT ST, 2ND FL, RED BANK, NJ 07701-4918
(721) 212-0060
(732) 212-0061

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05824600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7072406
NJ
Enumeration date
08/09/2005
Last updated
02/22/2008
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