Provider Demographics
NPI:1447219290
Name:OZA, HARSHA K (MD)
Entity Type:Individual
Prefix:
First Name:HARSHA
Middle Name:K
Last Name:OZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SHANNON WAY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2263
Mailing Address - Country:US
Mailing Address - Phone:609-371-0131
Mailing Address - Fax:
Practice Address - Street 1:3100 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 28
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1658
Practice Address - Country:US
Practice Address - Phone:609-245-7430
Practice Address - Fax:609-245-7432
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06669900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7481101Medicaid
NJ7481101Medicaid
004482AQQMedicare ID - Type Unspecified