Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 25MA04758900 | NJ |
N | 207RP1001X | Pulmonary Disease | MD036323E | PA |
NPI | 1043273253 |
---|---|
Provider Name | Dr. Kishorkumar Gurdnandas Nar |
First Address | Phillipsburg, NJ 08865-1836 |
Second Address | Phillipsburg, NJ 08865-1836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 26/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D06344 | (02) |