TARA P. KANETKAR MD PA NPI 1326186768

NPI Information

TARA P. KANETKAR, MD, PA is a family medicine in Edison, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TARA P. KANETKAR, MD, PA NPI is 1326186768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2149 WOODBRIDGE AVE
EDISON, NJ
ZIP 08817-474
Phone: (732) 985-2151
Fax: (732) 985-0650

The provider's authorized official is Tara P Kanetkar .
The authorized official title is Owner and has the following contact phone number (732) 985-2151.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 9/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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