Individual
PRIYA THAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
719 N BEERS ST, UNIT 2G, HOLMDEL, NJ 07733-1522
(732) 739-3223
Mailing address
719 N BEERS ST, UNIT 2G, HOLMDEL, NJ 07733-1522
(732) 739-3223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
231750
MA
207N00000X
Dermatology Physician
25MA08829200
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25MA08829200
NJ
Other
Enumeration date
07/26/2007
Last updated
08/28/2012
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