Individual
JAGDISH S. BHARARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1404 GULLY ROAD GULLY RD, WALL TOWNSHIP, NJ 07753
(732) 245-2202
(732) 681-7728
Mailing address
1404 GULLY ROAD GULLY RD, WALL TOWNSHIP, NJ 07753
(732) 245-2202
(732) 681-7728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02612700
NJ
Other
Enumeration date
05/03/2006
Last updated
11/27/2018
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