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NPI Code Detail

MEDICARE: DR. ARUN K KAISTHA O.D.

MEDICARE: DR. ARUN K KAISTHA O.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
1152W00000XOptometrist270A00591800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11659460012OTHERNJNPI 1659460012

General Provider Information

NPI Number : 1659460012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARUN K KAISTHA O.D.
Provider Business Mailing Address
First Line : 120 S WHITE HORSE PIKE
Second Line : SUITE B2
City : HAMMONTON
State : NJ
Zip : 08037-1804
Country : US
Telephone Number : 609-567-0997
Fax Number : 609-567-0515
Provider Business Practice Location Address
First Line : 120 S WHITE HORSE PIKE
Second Line : SUITE B2
City : HAMMONTON
State : NJ
Zip : 08037-1804
Country : US
Telephone Number : 609-567-0997
Fax Number : 609-567-0515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 06/25/2010

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