Individual
DR. JAYESH GAJENDRABHAI KANUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. FACAAI, FACA
Contact information
Practice address
1740 OAK TREE RD, EDISON, NJ 08820-2847
(732) 321-1920
(732) 906-1781
Mailing address
6 THISTLE LN, HOLMDEL, NJ 07733-1200
(732) 275-9001
(732) 906-1781
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA03708800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1398300
—
NJ
Enumeration date
07/09/2006
Last updated
07/08/2007
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