| Doctor Name: | DR. TUSHARKUMAR N MISTRY |
| NPI Number: | 1053302976 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25MA07930800 |
| Business Practice Address: | 28 Throckmorton Ln Old Bridge, NJ - 088572558 |
| Business Phone Number: | 7326794200 |
| Business Fax Number: | |
| Mailing Address: | 28 Throckmorton Ln, OLD BRIDGE |
| State: | NJ |
| Postal Code: | 088572558 |
| Phone Number: | 7326794200 |
| Fax Number: | 7326794211 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA07930800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |