MEDICARE: ASHISH M AGARWAL MD

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
1	207R00000X	Internal Medicine Physician	MD429787	PA
2	207RC0000X	Cardiovascular Disease Physician	MD429787	PA
3	207RC0000X	Cardiovascular Disease Physician	25MA08539000	NJ

General Provider Information

NPI Number	:	1821174483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHISH M AGARWAL MD

Provider Business Mailing Address
First Line	:	104 PHEASANT RUN
Second Line	:	SUITE 104
City	:	NEWTOWN
State	:	PA
Zip	:	18940-3439
Country	:	US
Telephone Number	:	215-860-3344
Fax Number	:	215-860-8950

Provider Business Practice Location Address
First Line	:	1 UNION ST
Second Line	:	SUITE 101
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-4219
Country	:	US
Telephone Number	:	609-890-7292
Fax Number	:	215-860-8950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	04/21/2021

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