Individual
ANUP HAZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 277-8756
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA52791
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7093608
—
NJ
Enumeration date
11/22/2006
Last updated
12/21/2018
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