Doctor Name: | DR. ARIZ RUYINTAN MEHTA |
NPI Number: | 1013077395 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 233661-1 |
Business Practice Address: | 191 Palisade Ave Jersey City, NJ - 073061112 |
Business Phone Number: | 2016564324 |
Business Fax Number: | |
Mailing Address: | 191 Palisade Ave, JERSEY CITY |
State: | NJ |
Postal Code: | 073061112 |
Phone Number: | 2016564324 |
Fax Number: | 2016564019 |
NPI Enumeration Date: | 12/09/2006 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 233661-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |