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Search › New Jersey › 2085R0202X

Pratik Shukla, M.D

NPI 1457614141 · on the registry since 2012 · sole proprietor

Practice

Address
150 Bergen St # Streetc
Newark, NJ 07103
Phone
(973) 972-5188
Clinicians at this address
3

Additional practice sites

  • 801 Ostrum St, Bethlehem, PA
  • 30 Bergen St # 121205, Newark, NJ

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
207R00000X
Licence states on file
PA, NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey