Individual
JAGDISH G THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 625-6000
Mailing address
346 VALLEY RD, WATCHUNG, NJ 07069-6055
(908) 625-9388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
139167-1
NY
174400000X
Specialist
Primary
25MA04131700
NJ
Other
Enumeration date
06/01/2005
Last updated
04/15/2011
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