Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 25MA08922000 | NJ |
NPI | 1083989107 |
---|---|
Provider Name | Dr. Sunita Borkar |
First Address | New Providence, NJ 07974-1041 |
Second Address | New Providence, NJ 07974-1041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2012 |
Last Update Date | 22/03/2012 |