Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA09246000 | NJ |
N | 111NI0900X | Internist | 25MA09246000 | NJ |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA09246000 | NJ |
NPI | 1043482631 |
---|---|
Provider Name | Dr. Smita N Kargutkar |
First Address | Red Bank, NJ 07701 |
Second Address | Red Bank, NJ 07701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 03/04/2018 |