Individual
DR. GITA DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 ETHEL RD, EDISON, NJ 08817-2249
(732) 248-0088
(732) 248-4405
Mailing address
49 ROXY AVE, EDISON, NJ 08820-1641
(732) 574-2796
(732) 574-2798
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MAO38240
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAO38240
LICENSE
NJ
Enumeration date
07/12/2006
Last updated
07/08/2007
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