Individual
DR. PUJA DESAI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2781
Mailing address
29 RODAK CIR, EDISON, NJ 08817-4766
(848) 219-1964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00657500
NJ
152W00000X
Optometrist
Primary
TUV007769
NY
Other
Enumeration date
12/02/2011
Last updated
07/21/2022
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