Healthcare Provider Details

I. General information

NPI: 1699955823
Provider Name (Legal Business Name): ARUN C NAIK MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 CHESTNUT ST SUITE 301-302
ROSELLE NJ
07203-1297
US

IV. Provider business mailing address

PO BOX 316
EAST HANOVER NJ
07936-0316
US

V. Phone/Fax

Practice location:
  • Phone: 908-259-1140
  • Fax:
Mailing address:
  • Phone: 908-259-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMA64337
License Number StateNJ

VIII. Authorized Official

Name: DR. ARUN NAIK
Title or Position: OWNER
Credential: MD
Phone: 908-259-1140