Provider Demographics
NPI:1245246982
Name:AGRAWAL, NIDHI (MD)
Entity type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:
Last Name:AGRAWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:196 GROVE AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:THOROFARE
Practice Address - State:NJ
Practice Address - Zip Code:08086
Practice Address - Country:US
Practice Address - Phone:856-848-7577
Practice Address - Fax:856-848-6554
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07791800207XX0005X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine