Individual
DR. SUSHANTH K BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 744-5873
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 744-5873
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08611600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240931
—
NJ
Enumeration date
06/27/2007
Last updated
01/03/2013
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