Individual
DR. VATSALA R BHASKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Contact information
Practice address
57 SCHANCK RD, SUITE C14 C15, FREEHOLD, NJ 07728-3072
(732) 431-9202
(732) 431-9205
Mailing address
57 SCHANCK RD, SUITE C14 C15, FREEHOLD, NJ 07728-3072
(732) 431-9202
(732) 431-9205
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA069868
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8104204
—
NJ
Enumeration date
06/04/2006
Last updated
04/25/2019
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