Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MA10837400 | NJ |
NPI | 1245595149 |
---|---|
Provider Name | Dr. Aatish Garg |
First Address | Marlton, NJ 08053-4197 |
Second Address | Cherry Hill, NJ 08034-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2012 |
Last Update Date | 20/10/2020 |