Individual
MUKTA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Mailing address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA09307500
NJ
Other
Enumeration date
08/27/2009
Last updated
02/09/2014
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