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Individual

DR. MOHAMMAD AZEEM BHATTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1205 EASTON AVE, SUITE 201, SOMERSET, NJ 08873-1672
(732) 325-0050
(732) 325-0071
Mailing address
1205 EASON AVENUE, STE 201, SOMERSET, NJ 08873-1672
(732) 325-0050
(732) 325-0071

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA08256000
NJ
208800000X
Urology Physician
MD070689-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018084190001
PA
01
039846
PTAN
01
1699088120
NPI
01
340020011
RR MEDICARE
PA
01
CC9269
RR MEDICARE GROUP
PA
Enumeration date
02/09/2006
Last updated
10/07/2016
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