Individual
KAUSTUBH ARVIND PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 N BEERS ST, HOLMDEL, NJ 07733-1519
(732) 739-2500
Mailing address
778 BOGEY CT, ANN ARBOR, MI 48103-8844
(734) 332-8860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA11811200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
07/03/2023
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