Individual
OPAL THAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
552 WESTWOOD AVE, LONG BRANCH, NJ 07740-5239
(732) 222-7800
(732) 571-2075
Mailing address
552 WESTWOOD AVE, LONG BRANCH, NJ 07740-5239
(732) 222-7800
(732) 571-2075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09804000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534196
—
NJ
Enumeration date
12/13/2013
Last updated
04/12/2017
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