Individual
DR. TEJ PHATAK
Active
Individual
DR. TEJ PHATAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07894300
NJ
2085P0229X
Pediatric Radiology Physician
Primary
25MA07894300
NJ
Other
Enumeration date
07/21/2008
Last updated
10/07/2015
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