Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25MA08513300 | NJ |
NPI | 1003076373 |
---|---|
Provider Name | Aarti Sanjeev Vadhavkar |
First Address | Pennington, NJ 08534-2520 |
Second Address | Pennington, NJ 08534-2520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 18/09/2014 |