Individual
PRIYA BHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
824 ELIZABETH AVE, ELIZABETH, NJ 07201-4708
(908) 352-9556
Mailing address
16 APPLEBY LN, EAST BRUNSWICK, NJ 08816-3618
(732) 675-3461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00645700
NJ
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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