Individual
PUJA BHAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
300 SIOUX AVE, LAKE HIAWATHA, NJ 07034-2847
(201) 243-9291
Mailing address
300 SIOUX AVE, LAKE HIAWATHA, NJ 07034-2847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00763900
NJ
Other
Enumeration date
07/31/2019
Last updated
09/17/2020
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