Thakar, Opal

Thakar, Opal is an individual health care provider with primary practice located at 552 Westwood Ave , Long Branch NJ 07740-5239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thakar, Opal can be contacted via phone (732) 222-7800.

Contact Information

Primary practice address
552 Westwood Ave Long Branch NJ 07740-5239
Phone: (732) 222-7800
Fax: (732) 571-2075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA09804000 New Jersey

Profile Details

NPI number 1659792802
LBN Legal business name Thakar, Opal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2013
Last updated Apr 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659792802 NPPES
New Jersey MEDICAID 0534196

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