Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TEJ PHATAK, MD
ActiveDR. TEJ PHATAK, MD is a Pediatric Radiology healthcare provider located in NEWARK, New Jersey. NPI 1841455789 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · NEWARK, NJ
Registration Details
- NPI Number
- 1841455789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2008 (18.034798825838 yrs)
- Last Updated
- Oct 7, 2015
- Licenses
-
25MA07894300 (NJ)25MA07894300 (NJ)
Practice Information
- Address
-
201 LYONS AVENEWARK, NJ, 071122027Browse NJ providers · Browse ZIP 07112
- Phone
- 9739266668
- Primary Specialty
-
Pediatric Radiology
2085P0229X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.