Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 25MA58633800 | NJ |
NPI | 1023073277 |
---|---|
Provider Name | Rajat K Dhar |
First Address | Toms River, NJ 08755-6429 |
Second Address | Toms River, NJ 08755-6429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 16/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5556007 | (05) | NJ |
BD2780294 | DEA (01) | |
D05474800 | CDS (01) | NJ |
F50946 | (02) |