Individual
DR. POONAM GAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3700 KENNEDY BLVD, UNION CITY, NJ 07087-2993
(201) 866-3737
(201) 866-6266
Mailing address
31 RIVER CT APT 3003, JERSEY CITY, NJ 07310-2036
(646) 915-4003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10825
CT
1223G0001X
General Practice Dentistry
057868-1
NY
1223G0001X
General Practice Dentistry
22DI02516600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042072
—
CT
05
—
0439568
—
NJ
Enumeration date
08/07/2012
Last updated
11/21/2020
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