Doctor Name: | RUCHI S MEHTA |
NPI Number: | 1134455132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 013806 |
Business Practice Address: | 7600 River Rd North Bergen, NJ - 070476217 |
Business Phone Number: | 2018545000 |
Business Fax Number: | |
Mailing Address: | 243 Marcella Rd, PARSIPPANY |
State: | NJ |
Postal Code: | 070542525 |
Phone Number: | 9737133328 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2009 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 013806 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |