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Individual

ASHWINI KORGAONKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 STATE ROUTE 18 STE 203, EAST BRUNSWICK, NJ 08816-1407
(732) 238-4010
Mailing address
38 PELMONT PL, PISCATAWAY, NJ 08854-3653
(732) 560-0044

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00891600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40QA00891600
LICENSE #
NJ
Enumeration date
08/29/2006
Last updated
07/08/2007
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