Healthcare Provider Details

I. General information

NPI: 1124257639
Provider Name (Legal Business Name): DEBKUMAR SARKAR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CARNIE BLVD STE B5
VOORHEES NJ
08043-4514
US

IV. Provider business mailing address

92 WALNUT DR
TENAFLY NJ
07670-2830
US

V. Phone/Fax

Practice location:
  • Phone: 888-909-7572
  • Fax:
Mailing address:
  • Phone: 847-769-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number275139
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number25MB11601200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number275139
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: