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Organization
RAJASHREE KANTHA, M.D., P.A.
Active
Organization
RAJASHREE KANTHA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJASHREE KANTHA M.D. (MEDICAL DOCTOR)
(201) 445-7744
Entity
Organization
Contact information
Practice address
1124 E RIDGEWOOD AVE STE 102, RIDGEWOOD, NJ 07450-3943
(201) 445-7744
(201) 445-7767
Mailing address
1124 E RIDGEWOOD AVE STE 102, RIDGEWOOD, NJ 07450-3943
(201) 445-7744
(201) 445-7767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07366300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110617
GHI
NJ
Enumeration date
07/10/2008
Last updated
03/25/2021
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