Individual
DR. KUNAL BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 916-0002
(973) 916-0027
Mailing address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 916-0002
(973) 916-0027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10865300
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA10865300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10865300
STATE LICENSE
NJ
Enumeration date
05/02/2013
Last updated
07/21/2020
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