Individual
JESSICA P MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-8945
Mailing address
115 OLD SHORT HILLS RD APT 283, WEST ORANGE, NJ 07052-1028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09080900
NJ
207LP3000X
Pediatric Anesthesiology Physician
Primary
25MA09080900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2009
Last updated
04/10/2024
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