Individual
VAJRAMALA P BHATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, AT OSBORNE TERRACE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
4 COLE CT, MILLSTONE TOWNSHIP, NJ 08510-8700
(732) 780-1322
(732) 252-8490
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60391
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6440002
—
NJ
Enumeration date
11/29/2006
Last updated
07/09/2007
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