Individual
DR. SHANTI DHUPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 NORTH AVE, WOOD-RIDGE, NJ 07075-2334
(201) 460-9362
(201) 460-0258
Mailing address
501 NORTH AVE, WOOD-RIDGE, NJ 07075-2334
(201) 460-9362
(201) 460-0258
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MAO31548
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377450301
—
NJ
Enumeration date
08/12/2005
Last updated
08/12/2011
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