Provider Demographics
NPI:1598938391
Name:JOSHI, MEHERWAN BURZOR (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHERWAN
Middle Name:BURZOR
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:715 OLD RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1021
Mailing Address - Country:US
Mailing Address - Phone:732-491-9597
Mailing Address - Fax:973-261-5142
Practice Address - Street 1:240 WILLIAMSON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3674
Practice Address - Country:US
Practice Address - Phone:732-491-9597
Practice Address - Fax:973-261-5142
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08379100207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ218137OtherMEDICARE PTAN #