Provider Demographics
NPI:1366630816
Name:SARWAN K SETH, MD
Entity Type:Organization
Organization Name:SARWAN K SETH, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARWAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-674-2242
Mailing Address - Street 1:310 CENTRAL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2835
Mailing Address - Country:US
Mailing Address - Phone:973-674-2242
Mailing Address - Fax:973-674-8033
Practice Address - Street 1:310 CENTRAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2835
Practice Address - Country:US
Practice Address - Phone:973-674-2242
Practice Address - Fax:973-674-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03805700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1535102Medicaid
NJ1535102Medicaid
NJC53735Medicare UPIN