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Individual

DR. HARISH KANAIYALAL BHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 PROGRESS ST, STE A9, EDISON, NJ 08820-1199
(908) 753-6522
(908) 663-2634
Mailing address
4 PROGRESS ST, SUITE A-9, EDISON, NJ 08820-1199
(908) 753-6522
(908) 663-2634

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05411400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6797903
NJ
Enumeration date
06/16/2005
Last updated
10/31/2007
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