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Individual

DR. RUCHI MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
106 BROAD STREET, BLOOMFIELD, NJ 07003
(973) 743-1392
(973) 743-3707
Mailing address
106 BROAD STREET, BLOOMFIELD, NJ 07003
(973) 743-1392
(973) 743-3707

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08474900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0287326
NJ
Enumeration date
09/22/2008
Last updated
03/21/2016
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