Agarwalla, Pankaj K
Agarwalla, Pankaj K is an individual health care provider with primary practice located at 90 Bergen St # 8100 , Newark NJ 07103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Agarwalla, Pankaj K can be contacted via phone (973) 972-2323.Contact Information
Primary practice address
90 Bergen St # 8100
Newark NJ 07103
Phone: (973) 972-2323
Fax: (973) 972-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 25MA10448600 | New Jersey |
Profile Details
| NPI number | 1386965523 |
|---|---|
| LBN Legal business name | Agarwalla, Pankaj K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Jan 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386965523 | NPPES |
| New Jersey | MEDICAID | 0670723 |
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