Doctor Name: | DR. SUKHJENDER S GORAYA |
NPI Number: | 1710931498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | MA066839 |
Business Practice Address: | 606 Roosevelt Ave Carteret, NJ - 070082935 |
Business Phone Number: | 7325416521 |
Business Fax Number: | |
Mailing Address: | Po Box 428, CARTERET |
State: | NJ |
Postal Code: | 070080428 |
Phone Number: | 7325416521 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | MA066839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |