Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 25MA08773400 | NJ |
NPI | 1023290533 |
---|---|
Provider Name | Dr. Dhiren S. Dave |
First Address | Somerville, NJ 08876-1824 |
Second Address | Somerville, NJ 08876-1824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 13/03/2017 |