Individual
KISHOR JIVANLAL JOBANPUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2143 S BRANCH RD, SOMERVILLE, NJ 08876
(908) 369-8871
Mailing address
2143 S BRANCH RD, SOMERVILLE, NJ 08876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA29395
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4671006
—
NJ
Enumeration date
02/07/2006
Last updated
07/08/2007
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