Provider Demographics
NPI:1275851446
Name:KAMAT, MADHAV S
Entity Type:Individual
Prefix:DR
First Name:MADHAV
Middle Name:S
Last Name:KAMAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SQUIBB DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1588
Mailing Address - Country:US
Mailing Address - Phone:732-227-5694
Mailing Address - Fax:732-227-3818
Practice Address - Street 1:1, SQUIBB DRIVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08903
Practice Address - Country:US
Practice Address - Phone:732-227-5694
Practice Address - Fax:732-227-3818
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039788L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist