Organization
K RATKALKAR & E MEZIC M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE RATKALKAR MD (PRESIDENT)
(732) 679-9950
Entity
Organization
Contact information
Practice address
26 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2578
(732) 679-9961
(732) 679-9957
Mailing address
26 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2578
(732) 679-9961
(732) 679-9957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437218435
1437218435
NJ
Enumeration date
08/17/2021
Last updated
05/23/2022
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