Tara P. Kanetkar, Md, Pa

LBN: Tara P. Kanetkar, Md, Pa
Tara P. Kanetkar, Md, Pa is an health care organization with primary practice located at 2149 Woodbridge Ave , Edison NJ 08817-4474. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tara P. Kanetkar, Md, Pa can be contacted via phone (732) 985-2151, or through Kanetkar, Tara P via phone (732) 985-2151.

Contact Information

Primary practice address
2149 Woodbridge Ave Edison NJ 08817-4474
Phone: (732) 985-2151
Fax: (732) 985-0650
Website:
Map and Directions
Authorized official contact:
Name: Kanetkar, Tara P Doctor of Medicine (MD)
Phone: (732) 985-2151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA023527 New Jersey

Profile Details

NPI number 1326186768
LBN Legal business name Tara P. Kanetkar, Md, Pa
DBA Doing business as
Authorized official Kanetkar, Tara P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Sep 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326186768 NPPES
New Jersey MEDICAID 2091704

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