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Organization

DR. JAY BHUTA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY NALIN BHUTA (OWNER)
(732) 532-3668
Entity
Organization

Contact information

Practice address
200 S ORANGE AVE STE 118, LIVINGSTON, NJ 07039-5817
(732) 532-3668
Mailing address
225 MILLBURN AVE STE 104B, MILLBURN, NJ 07041-1712
(732) 532-3668
(973) 577-4003

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
25MD00325500
NJ

Other

Enumeration date
04/10/2018
Last updated
04/10/2018
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