Provider Information for 1508930991
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Dr. GAGAN LUTHRA Ph.D
Sex: Female
NPI: 1508930991
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508930991 | ||||||||
| Enumeration Date | 2006-11-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18 GUNTHER LOOP SOMERSET, NJ 08873-7355 United States Phone: 732-873-7377 | Fax:732-873-7377 | ||||||||
| Primary Practice Address | 18 GUNTHER LOOP SOMERSET, NJ 08873-7355 United States Phone: 732-873-7377 | Fax:732-873-7377 | ||||||||
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