Individual
DR. JAYASHREE SHRIKANT PATHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS(MD), C-IAYT
Contact information
Practice address
385 TREMONT AVE, VANJHCS, DEPARTMENT OF INTEGRATIVE MEDICINE, EAST ORANGE, NJ 07018
(973) 676-1000
Mailing address
712 HAMPTON LN, ISELIN, NJ 08830-2980
(404) 316-1249
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
226300000X
Kinesiotherapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38829497
THE INTERNATIONAL ASSOCIATION OF YOGA THERAPISTS
—
01
—
5815
MEDICAL COUNCIL OF MADHYA PRADESH, BHOPAL, 1984
—
Enumeration date
09/17/2017
Last updated
09/17/2017
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