Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 25MA07953700 | NJ |
NPI | 1356382600 |
---|---|
Provider Name | Dr. Priti S Gujar |
First Address | Princeton, NJ 08540-7955 |
Second Address | Lawrence Township, NJ 08648-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 16/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8213101 | (05) | NJ |