Organization
NIKUNJ MEHTA MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK P MEHTA MD (PHYSICIAN)
(732) 244-1080
Entity
Organization
Contact information
Practice address
9 MULE RD STE E14, TOMS RIVER, NJ 08755-5053
(732) 244-1080
(732) 244-1130
Mailing address
9 MULE RD STE E14, TOMS RIVER, NJ 08755-5053
(732) 244-1080
(732) 244-1130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA43305
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39477203
—
NJ
01
—
DO9560
RAILROAD MEDICARE
NJ
Enumeration date
07/25/2006
Last updated
08/25/2009
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