Provider Demographics
NPI:1659574770
Name:DHAR, VASUDHA (MD)
Entity Type:Individual
Prefix:DR
First Name:VASUDHA
Middle Name:
Last Name:DHAR
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 1:300B PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1400
Mailing Address - Country:US
Mailing Address - Phone:609-918-1222
Mailing Address - Fax:609-918-1235
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:SUITE 206
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1400
Practice Address - Country:US
Practice Address - Phone:609-918-1222
Practice Address - Fax:609-918-1235
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238848207RG0100X
NJ25MA08340600207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
139037ZBYUMedicare PIN