Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | NJ | |
N | 225XE1200X | Ergonomics | NJ | |
N | 2251G0304X | Physical Therapist - Geriatrics | NJ | |
N | 2251S0007X | Physical Therapist - Sports | NJ | |
N | 2251X0800X | Physical Therapist - Orthopedic | NJ | |
N | 225400000X | Rehabilitation Practitioner | NJ |
NPI | 1396824579 |
---|---|
Provider Name | Mr. Anup Kumar Dhage |
First Address | South Amboy, NJ 08879-2260 |
Second Address | Woodbridge, NJ 07095-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |