Individual
SHIVANI THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 DAVIDSON AVE, STE 204, SOMERSET, NJ 08873
(732) 271-1400
(732) 271-3544
Mailing address
285 DAVIDSON AVE STE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.061824
IL
207L00000X
Anesthesiology Physician
Primary
25MA10084700
NJ
207L00000X
Anesthesiology Physician
65600
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841546389
AMERICAN ANESTHESIOLOGY OF NEW JERSEY, PC
NJ
05
—
1841546389
—
WI
Enumeration date
08/02/2012
Last updated
05/06/2019
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