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Individual

DR. MANOJ M. THAKKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 TILTON RD, NORTHFIELD, NJ 08225-1827
(609) 646-5200
(609) 646-9868
Mailing address
1500 TILTON RD, NORTHFIELD, NJ 08225-1827
(609) 646-5200
(609) 646-9868

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
042-0011003
VT
207W00000X
Ophthalmology Physician
237850
MA
207W00000X
Ophthalmology Physician
25MA08673200
NJ
207W00000X
Ophthalmology Physician
MD00042397
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
25MA08673200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0243833
NJ
05
1011768
VT
Enumeration date
12/23/2005
Last updated
05/08/2016
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