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Individual

UMER DASTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
(201) 445-7471
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
(201) 445-7471

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09298900
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA09298900
NJ

Other

Enumeration date
06/18/2008
Last updated
04/26/2019
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