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Individual

ADITYA CHAND MEHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
495 JACK MARTIN BLVD, SUITE 2, BRICK, NJ 08724-7778
(732) 458-8299
(732) 458-1901
Mailing address
495 JACK MARTIN BLVD, SUITE 2, BRICK, NJ 08724-7778
(732) 458-8299
(732) 458-1901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08361400
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08361400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160873
NJ
Enumeration date
05/07/2008
Last updated
05/06/2010
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