Individual
DR. ATUL KUMAR AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 UNION AVE, SUITE 102, IRVINGTON, NJ 07111
(973) 399-6270
(973) 374-3346
Mailing address
1308 CENTENNIAL AVE, SUITE 350, PISCATAWAY, NJ 08854
(908) 222-3506
(908) 222-8770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207W00000X
Ophthalmology Physician
MA61586
NJ
207W00000X
Ophthalmology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10456275
CAQH
NJ
01
—
1427133586
NPI
NJ
01
—
1900871
NY STATE MEDICAL LICENSE
NY
05
—
6875700
—
NJ
01
—
D-06711300
CDS NUMBER
NJ
01
—
MA06158600
NJ MEDICAL LICENSE
NJ
Enumeration date
10/26/2006
Last updated
09/11/2025
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