Individual
DR. DOV JOHANAN RAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2035 HAMBURG TPKE, SUITE G, WAYNE, NJ 07470-6251
(973) 831-2828
(973) 831-2829
Mailing address
PO BOX 2403, WAYNE, NJ 07474-2403
(973) 831-2828
(973) 831-2829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6543006
—
NJ
Enumeration date
09/25/2006
Last updated
10/04/2012
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