Individual
JYOTHI ASTHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6540
(732) 923-6536
Mailing address
PO BOX 15378, NEWARK, NJ 07192-5378
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07326500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8737801
—
NJ
Enumeration date
09/22/2006
Last updated
07/08/2007
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