# RASIK M. JIVANI MD PA

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

## Provider details

- **NPI number:** 1801051818
- **Authorized official:** DR. RASIK M. JIVANI MD, PA (PRESIDENT)
- **Authorized official phone:** (609) 758-3200

## Contact information

- **Practice address:** 611 ROUTE 539, CREAM RIDGE, NJ 08514-2334
- **Practice address phone:** (609) 758-3200
- **Mailing address:** 611 ROUTE 539, CREAM RIDGE, NJ 08514-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA55789 | NJ | Yes |

## Other

- **Enumeration date:** 07/20/2008
- **Last updated:** 07/20/2008