Individual
ANKITA MODH LATHIGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 NAMI LN STE 8, HAMILTON, NJ 08619-1251
(609) 631-9006
(609) 631-9008
Mailing address
46 PALOMINO DRIVE, OLD BRIDGE, NJ 08857
(732) 492-5923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00328000
NJ
363AM0700X
Medical Physician Assistant
25MP00328000
NJ
Other
Enumeration date
01/31/2014
Last updated
06/16/2025
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