Individual
DR. RAED A JITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 MCCAMPBELL RD, HOLMDEL, NJ 07733-2291
(732) 946-0995
(732) 946-0995
Mailing address
15 MCCAMPBELL RD, HOLMDEL, NJ 07733-2291
(732) 946-0995
(732) 946-0995
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
17922
WV
207RC0000X
Cardiovascular Disease Physician
20531
SC
207RC0000X
Cardiovascular Disease Physician
23877
AL
207RC0000X
Cardiovascular Disease Physician
25MA07843100
NJ
207RC0000X
Cardiovascular Disease Physician
29166
IA
207RC0000X
Cardiovascular Disease Physician
31939
KY
207RC0000X
Cardiovascular Disease Physician
Primary
84811
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078319000
—
WV
05
—
0176401
—
OH
05
—
64319395
—
KY
Enumeration date
05/04/2006
Last updated
01/19/2012
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