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Individual

IRVINDER BHATIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 W UNION AVE, BOUND BROOK, NJ 08805-1166
(732) 469-3627
Mailing address
150 WALLACE CT, GREENBROOK, NJ 08812

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA68562
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0239216
NJ
Enumeration date
05/03/2007
Last updated
09/09/2014
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