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Organization

HIRAK GUHA MDPA

Active
Parent organization
HIRAK GUHA MDPA
Organization subpart
Yes

Provider details

NPI number
Legal business name
HIRAK GUHA MDPA
Authorized official
DR. HIRAK GUHA MD (PRESIDENT)
(732) 548-0122
Entity
Organization

Contact information

Practice address
44 ROUTE 27, EDISON, NJ 08820-3978
(732) 548-0122
(732) 548-2346
Mailing address
44 ROUTE 27, EDISON, NJ 08820-3978
(732) 548-0122
(732) 548-2346

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
25MA03094200
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA03094200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0152803
NJ
Enumeration date
03/27/2013
Last updated
03/27/2013
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