Individual
DR. AMOGH RAJEEV PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
1050 GEORGE ST APT 16I, NEW BRUNSWICK, NJ 08901-1023
(212) 380-8456
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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