Individual
DR. EVA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
19 HIGHLAND DR, PARLIN, NJ 08859-2522
(732) 238-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08695900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235539
—
NJ
Enumeration date
04/21/2010
Last updated
10/19/2010
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