Individual
DR. ANJU BUDHWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
166 MAIN ST STE 1A, LINCOLN PARK, NJ 07035
(973) 694-6260
(973) 694-2359
Mailing address
166 MAIN ST STE 1A, LINCOLN PARK, NJ 07035-1791
(973) 694-6260
(973) 694-2359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07469200
NJ
207RP1001X
Pulmonary Disease Physician
25MA07469200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216119
—
NJ
01
—
125069
MEDICARE
NJ
Enumeration date
05/03/2007
Last updated
02/27/2020
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