Individual
DR. AJAY KUMAR AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
257-12 UNION TPKE, GLEN OAKS, NY 11004-1252
(718) 343-3800
(914) 303-5004
Mailing address
257-12 UNION TPKE, GLEN OAKS, NY 11004
(718) 343-3800
(914) 303-5004
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA066725
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7554303
—
NJ
Enumeration date
02/09/2006
Last updated
08/17/2018
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