Provider Demographics
NPI:1932347705
Name:BHUTRA, SAROJ CHAND (MD)
Entity type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:CHAND
Last Name:BHUTRA
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 1:706 SOUTHRIDGE WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2389
Mailing Address - Country:US
Mailing Address - Phone:732-438-8449
Mailing Address - Fax:
Practice Address - Street 1:706 SOUTHRIDGE WOODS BLVD
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2389
Practice Address - Country:US
Practice Address - Phone:732-438-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-31
Last Update Date:2009-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07232000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics