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Individual
DR. SAMIR C. JETHWA
Active
Individual
DR. SAMIR C. JETHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MB09398100
NJ
2085R0202X
Diagnostic Radiology Physician
2769431
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MB09398100
NJ
2085R0204X
Vascular & Interventional Radiology Physician
2769431
NY
Other
Enumeration date
04/16/2009
Last updated
12/01/2016
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