Provider Demographics
NPI:1922216894
Name:ADHIA, RUPAL D (PT)
Entity type:Individual
Prefix:MRS
First Name:RUPAL
Middle Name:D
Last Name:ADHIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 ELDORADO WAY
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-4510
Mailing Address - Country:US
Mailing Address - Phone:732-521-4306
Mailing Address - Fax:
Practice Address - Street 1:445 RT.9 SOUTH
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-536-4234
Practice Address - Fax:732-536-4234
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00QA00829300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist