Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 40QA00574300 | NJ |
NPI | 1275835431 |
---|---|
Provider Name | Mrs. Hemangi Deepak Shastri |
First Address | Plainsboro, NJ 08536-3632 |
Second Address | Cranbury, NJ 08512-3327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2010 |
Last Update Date | 22/11/2010 |