Provider Demographics
NPI:1700045051
Name:GOENKA, ANUJ (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUJ
Middle Name:
Last Name:GOENKA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:130 E 77TH ST
Mailing Address - Street 2:DEPARTMENT OF RADIATION MEDICINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:212-434-2919
Mailing Address - Fax:212-434-2445
Practice Address - Street 1:3674 ROUTE 27, PRINCETON RADIOLOGY ASSOCIATES, P.A.
Practice Address - Street 2:DEPARTMENT B
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824
Practice Address - Country:US
Practice Address - Phone:732-821-5563
Practice Address - Fax:732-821-6675
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2014-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA091886002085R0001X
NY251314-12085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology