Provider Demographics
NPI:1154811388
Name:VERMA, BHAVNA (MD)
Entity type:Individual
Prefix:
First Name:BHAVNA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 FISCHER BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3835
Mailing Address - Country:US
Mailing Address - Phone:848-287-6009
Mailing Address - Fax:848-287-6035
Practice Address - Street 1:953 FISCHER BLVD STE 2
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3835
Practice Address - Country:US
Practice Address - Phone:848-287-6009
Practice Address - Fax:848-287-6035
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11167700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine