Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MA38057 | NJ |
NPI | 1295765527 |
---|---|
Provider Name | Sarwan Kumar Seth |
First Address | East Orange, NJ 07018-2835 |
Second Address | East Orange, NJ 07018-2835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C53735 | (02) | NJ |