NPI 1104358100

Jeet Thaker, MD

Practitioner Family Medicine Physician Egg Harbor Township, NJ

Practice location

Address: 2500 English Creek Ave STE 909, Egg Harbor Township, NJ 08234-5587
Phone: (609) 407-2380
Mailing address: 2799 W Grand Blvd, Detroit, MI 48202-2608

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA10876800 (NJ)

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1104358100
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2017
Record last updated: 6 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.