Healthcare Provider Details

I. General information

NPI: 1649117342
Provider Name (Legal Business Name): DARSHILKUMAR ANILKUMAR PANCHAL M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 JACK MARTIN BLVD, OCEAN UNIVERSITY MEDICAL CENTER
BRICK NJ
08724
US

IV. Provider business mailing address

425 JACK MARTIN BLVD, OCEAN UNIVERSITY MEDICAL CENTER
BRICK NJ
08724
US

V. Phone/Fax

Practice location:
  • Phone: 732-840-2200
  • Fax: 732-295-6090
Mailing address:
  • Phone: 732-840-2200
  • Fax: 732-295-6090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: