Individual
NIREN JASUTKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MAYWOOD AVE, MAYWOOD, NJ 07607-1001
(551) 257-7005
Mailing address
219 N BROAD ST FL 5, DIVISION OF GASTROENTEROLOGY, PHILADELPHIA, PA 19107-1507
(215) 762-6072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP01844
RI
207RG0100X
Gastroenterology Physician
Primary
25MA09962100
NJ
Other
Enumeration date
05/12/2010
Last updated
04/18/2019
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