Individual
BHARAT J JHAVERI, MD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 E JIMMIE LEEDS RD UNIT 702, GALLOWAY, NJ 08205-4124
(609) 484-7009
(609) 484-7571
Mailing address
502 E BRADFORD AVE, GALLOWAY, NJ 08205
(609) 652-8593
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA03576100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220030377
RAILROAD MEDICARE
—
05
—
2420805
—
NJ
Enumeration date
07/29/2005
Last updated
04/06/2019
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