Individual
NILAYA BABU BHAWSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 SHERMAN AVE., BLOOMFIELD, NJ 07003
(973) 743-9555
(973) 743-7663
Mailing address
230 SHERMAN AVE., BLOOMFIELD, NJ 07003
(973) 743-9555
(973) 743-7663
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
240960-1
NY
2084N0400X
Neurology Physician
25MB08228500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/22/2006
Last updated
07/18/2007
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