# JITENDRA J. LODHAVIA M.D. , P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184947343
- **Authorized official:** DR. JITENDRA J LODHAVIA MD (PRESIDENT)
- **Authorized official phone:** (201) 488-4420

## Contact information

- **Practice address:** 71 SUMMIT AVE, GROUND FLOOR, REAR ENTRANCE, HACKENSACK, NJ 07601-1262
- **Practice address phone:** (201) 488-4420
- **Practice address fax:** (201) 488-7570
- **Mailing address:** 71 SUMMIT AVE, GROUND FLOOR, REAR ENTRANCE, HACKENSACK, NJ 07601-1262
- **Mailing address phone:** (201) 488-4420
- **Mailing address fax:** (201) 488-7570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 25MA02730900 | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 03/02/2010