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Individual

DR. SIDDHANT KUMAR MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
360 ESSEX ST STE 203, HACKENSACK, NJ 07601-8566
(551) 996-8867
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2018011785
MO
207X00000X
Orthopaedic Surgery Physician
Primary
25MA10613200
NJ

Other

Enumeration date
07/08/2013
Last updated
08/07/2019
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