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Individual

NISHA BHAGWAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00720300
NJ
363AM0700X
Medical Physician Assistant
Primary
MA066460
PA

Other

Enumeration date
08/03/2022
Last updated
06/04/2025
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