Individual
DR. ADITY BHATTACHARYYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4056 QUAKERBRIDGE ROAD, SUITE 101, LAWRENCEVILLE, NJ 08648
(609) 528-9143
(609) 528-9146
Mailing address
PO BOX 8500-1601, PHILADELPHIA, PA 19178-0001
(609) 815-7810
(609) 528-9146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA064307
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7267801
—
NJ
01
—
MA064307
MEDICAL LISENCE
NJ
Enumeration date
07/08/2006
Last updated
03/07/2023
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