Individual
MEERA KHEDKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
19 HOLLY ST, CRANFORD, NJ 07016-2158
(908) 276-0666
(908) 276-7434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA08059600
NJ
207KA0200X
Allergy Physician
25MA08059600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001430652
—
NJ
01
—
25MA08059600
MEDICAL LICENSE
NJ
Enumeration date
02/28/2007
Last updated
10/05/2015
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