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MUKTA BANSAL M.D.

Geriatric Medicine >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1992938765

Individual Registrant:
 MUKTA  BANSAL M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
113 ROUTE 73  VOORHEES, NJ 08043-9573 US
Tel: 856-809-3500  Fax: --

Contact information for business:
113 ROUTE 73  VOORHEES, NJ 08043-9573 US
Tel: 856-809-3500  Fax: --

Registration Information:
NPI: 1992938765
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0300XAllopathic & Osteopathic Physicians
Internal Medicine
Geriatric Medicine
NJ25MA09307500

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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