Doctor Name: | DR. SUMITRA AGARWAL |
NPI Number: | 1972673812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 242077 |
Business Practice Address: | 26 E Main St Freehold, NJ - 077282267 |
Business Phone Number: | 7322071402 |
Business Fax Number: | |
Mailing Address: | 106 Autumn Rd, MATAWAN |
State: | NJ |
Postal Code: | 077473594 |
Phone Number: | 7322071402 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 242077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |