Individual
KOMAL BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
(732) 246-7317
Mailing address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
(732) 246-7317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09147200
NJ
207Q00000X
Family Medicine Physician
4301094355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312631
—
NJ
Enumeration date
06/11/2009
Last updated
06/09/2021
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