Individual
DR. JAYATI MUKHOPADHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.O.G.
Contact information
Practice address
60 BALL ST, IRVINGTON, NJ 07111-3413
(973) 374-8889
(973) 374-1034
Mailing address
60 BALL ST, IRVINGTON, NJ 07111-3413
(973) 374-8889
(973) 374-1034
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA040336
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881809
—
NJ
01
—
MA040336
MEDICAL LICENSE
NJ
Enumeration date
03/16/2006
Last updated
07/02/2010
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