Provider Demographics
NPI:1063613818
Name:DHRUVA, HEMANG
Entity type:Individual
Prefix:
First Name:HEMANG
Middle Name:
Last Name:DHRUVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HEMANG
Other - Middle Name:
Other - Last Name:DHRUVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 CIDER CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2803
Mailing Address - Country:US
Mailing Address - Phone:732-651-6480
Mailing Address - Fax:
Practice Address - Street 1:2 CIDER CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2803
Practice Address - Country:US
Practice Address - Phone:732-651-6480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00467400282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital