Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA10361200 | NJ |
NPI | 1275943110 |
---|---|
Provider Name | Dr. Neil Kaushal |
First Address | Newark, NJ 07107-3000 |
Second Address | Newark, NJ 07103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2014 |
Last Update Date | 24/08/2018 |