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Individual

RUPREKHA BHUYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6010 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-9752
(609) 646-5142
(609) 646-8715
Mailing address
PO BOX 1086, PLEASANTVILLE, NJ 08232-6086

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA05060500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3977307
NJ
Enumeration date
07/09/2006
Last updated
03/21/2008
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