Doctor Name: | NIDHI KAKAR |
NPI Number: | 1013295989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A |
License Number: | 25MP00215600 |
Business Practice Address: | 59 Route 516 Old Bridge, NJ - 088571416 |
Business Phone Number: | 7326131000 |
Business Fax Number: | |
Mailing Address: | 6 Carnegie St, MONROE |
State: | NJ |
Postal Code: | 088315400 |
Phone Number: | 7326051220 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00215600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |