Individual
TEJAL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA10956500
NJ
207RI0200X
Infectious Disease Physician
4301085728
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65152
—
MI
Enumeration date
07/11/2008
Last updated
12/17/2020
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