Basic Information
Provider Information
NPI: 1831598788
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHASIN
FirstName: ALAUKIK
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1945 STATE ROUTE 33
Address2:  
City: NEPTUNE
State: NJ
PostalCode: 077534859
CountryCode: US
TelephoneNumber: 7327764930
FaxNumber: 7327764929
Practice Location
Address1: 2250 CHAPEL AVE W
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080022051
CountryCode: US
TelephoneNumber: 8564829000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/16/2014
LastUpdateDate: 10/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X25MB10019600NJY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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