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Contact Information

OPAL THAKAR, MD
552 WESTWOOD AVE
LONG BRANCH, NJ07740-5239
 Phone: 732-222-7800
 Fax: 732-571-2075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for OPAL THAKAR · (Female)

NPI Number 1659792802
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2013
Last updated 04/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA09804000
  • NJ Medicaid 0534196
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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