Individual
DR. NIKUNJ P MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 MULE RD STE E14, TOMS RIVER, NJ 08755-5053
(732) 244-1080
(732) 244-1130
Mailing address
9 MULE RD STE 14E, TOMS RIVER, NJ 08755-5053
(732) 244-1080
(732) 244-1130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA 43305
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3947203
—
NJ
01
—
P00718633
RAILROAD MEDICARE
NJ
Enumeration date
07/18/2006
Last updated
08/25/2009
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