Individual
ISHITA MISURYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 EASTON AVENUE, 4TH FLOOR CARES, RM 4014, NEW BRUNSWICK, NJ 08901
(732) 745-8600
Mailing address
240 EASTON AVENUE, 4TH FLOOR CARES, RM 4014, NEW BRUNSWICK, NJ 08901
(732) 745-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0099236
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2021
Last updated
07/29/2024
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