Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 25MA07808400 | NJ |
NPI | 1053357947 |
---|---|
Provider Name | Ajay N Mathur |
First Address | Hillsborough, NJ 08844-1528 |
Second Address | Oakhurst, NJ 07755-2715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 06/05/2015 |