Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 25MA07105400 | NJ |
NPI | 1104990266 |
---|---|
Provider Name | Navin Budhwani |
First Address | Oakland, NJ 07436 |
Second Address | Oakland, NJ 07436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 09/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I41452 | (02) |