Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA08762900 | NJ |
Y | 111NI0900X | Internist | 25MA08762900 | NJ |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 25MA08762900 | NJ |
NPI | 1235376864 |
---|---|
Provider Name | Saurabh Kapoor |
First Address | Newark, NJ 07112-2027 |
Second Address | Newark, NJ 07112-2027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2009 |
Last Update Date | 22/10/2018 |