Provider Demographics
NPI:1770894206
Name:ARJUN S DHIRMALANI MD,PA
Entity type:Organization
Organization Name:ARJUN S DHIRMALANI MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ARJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:DHIRMALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-334-2265
Mailing Address - Street 1:239 BALDWIN RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-7503
Mailing Address - Country:US
Mailing Address - Phone:973-334-2265
Mailing Address - Fax:973-335-9091
Practice Address - Street 1:239 BALDWIN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-7503
Practice Address - Country:US
Practice Address - Phone:973-334-2265
Practice Address - Fax:973-335-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02681800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ057179Medicare PIN