Basic Information
Provider Information
NPI: 1770859787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILGUTAY
FirstName: AYLIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3600 ROUTE 66 FL 3
Address2:  
City: NEPTUNE
State: NJ
PostalCode: 077532645
CountryCode: US
TelephoneNumber: 7328070877
FaxNumber: 2017511680
Practice Location
Address1: 1944 ROUTE 33
Address2: SUITE 203
City: NEPTUNE
State: NJ
PostalCode: 077534842
CountryCode: US
TelephoneNumber: 7326139144
FaxNumber: 7326135121
Other Information
ProviderEnumerationDate: 03/25/2012
LastUpdateDate: 09/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000XBP10040819TXN Allopathic & Osteopathic PhysiciansUrology 
2088P0231X25MA10546900NJY Allopathic & Osteopathic PhysiciansUrologyPediatric Urology

No ID Information.


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