Organization
PUJAN GASTROENTEROLOGIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVNA N BALAR M.D. (PRESIDENT)
(201) 568-1243
Entity
Organization
Contact information
Practice address
1650 GRAND CONCOURSE, DIVISION OF GASTROENTEROLOGY, 3RD FLOOR, BRONX, NY 10457-7606
(718) 518-5550
Mailing address
161 TRUMAN DR, CRESSKILL, NJ 07626-1709
(201) 568-1243
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
219532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459781
—
NY
Enumeration date
06/12/2006
Last updated
08/22/2020
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