Provider Demographics
NPI:1972995298
Name:NUTAN NADKARNI MD FAAP LLC
Entity type:Organization
Organization Name:NUTAN NADKARNI MD FAAP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NUTAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:NADKARNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-512-9130
Mailing Address - Street 1:468 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-3143
Mailing Address - Country:US
Mailing Address - Phone:732-442-1820
Mailing Address - Fax:732-442-2918
Practice Address - Street 1:468 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3143
Practice Address - Country:US
Practice Address - Phone:732-442-1820
Practice Address - Fax:732-442-2918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty