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NPI Code Detail

MEDICARE: DR. JYOTSNA SUDHIR MEHTA M.D.

MEDICARE: DR. JYOTSNA SUDHIR MEHTA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMA037750NJ

General Provider Information

NPI Number : 1750351318
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JYOTSNA SUDHIR MEHTA M.D.
Provider Business Mailing Address
First Line : 106 RAVINE LAKE RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-1408
Country : US
Telephone Number : 908-221-0385
Fax Number : 908-221-9304
Provider Business Practice Location Address
First Line : 10 ANDERSON RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2323
Country : US
Telephone Number : 908-221-1410
Fax Number : 908-221-9304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 12/06/2010

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