# PAVILION MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pavilion Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689972002
- **Authorized official:** MS. RAJNEY MONICA BAIS MD (PRESIDENT)
- **Authorized official phone:** (732) 616-3761

## Contact information

- **Practice address:** 357 APPLEGARTH RD STE 11, MONROE TOWNSHIP, NJ 08831-3731
- **Practice address phone:** (609) 409-2400
- **Practice address fax:** (609) 409-2404
- **Mailing address:** 25 ZEV CT, MONMOUTH JUNCTION, NJ 08852-3128
- **Mailing address phone:** (732) 673-8011
- **Mailing address fax:** (732) 741-0337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA060109200 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA066040800 | NJ | Yes |
| 207RI0200X | Infectious Disease Physician | 25MA06109200 | NJ | — |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011