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Individual

MOTI L TIKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1553 HWY 27 SUITE 2300, SOMERSET, NJ 08873
(732) 301-2628
(732) 377-3319
Mailing address
1553 HWY 27 SUITE 2300, SOMERSET, NJ 08873
(732) 301-2628
(732) 377-3319

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA04924700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078115000
AMERICHOICE
NJ
01
0593929-006
CIGNA
NJ
05
0724408
NJ
01
1050446
HORIZON NJ HEALTH
NJ
01
15679
UNIVERSITY HEALTH PLANS
NJ
01
2304791
AETNA
NJ
01
29304
BEECH STREET
NJ
01
660001165
RR MCR PTAN
NJ
01
F04778
HEALTHNET
NJ
01
P514354
OXFORD
NJ
Enumeration date
11/20/2006
Last updated
11/09/2017
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