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Individual

BRIJ MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
68 HARRIS BUSHVILLE RD, MONTICELLO, NY 12701-3027
(845) 794-0996
(845) 796-1404
Mailing address
191 N LEHIGH AVE, CRANFORD, NJ 07016-3040
(908) 644-5182
(908) 272-0212

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
255216-1
NY
208600000X
Surgery Physician
MD438480
PA
208600000X
Surgery Physician
R8004
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
255216
NY LICENSE
NY
Enumeration date
07/06/2007
Last updated
03/23/2010
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