Organization
BHARATHI NAYAK M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARATHI NAYAK M.D. (PRESIDENT)
(973) 672-2005
Entity
Organization
Contact information
Practice address
85 S HARRISON ST, SUITE # 101, EAST ORANGE, NJ 07018-1700
(973) 672-2005
(973) 672-2940
Mailing address
22 WINDING WAY, WOODLAND PARK, NJ 07424-2665
(973) 672-2005
(973) 672-2940
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA03013500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3160203
—
NJ
Enumeration date
01/30/2012
Last updated
01/30/2012
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