Individual
DR. SIVA TEJA JETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2431
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10464800
NJ
208M00000X
Hospitalist Physician
Primary
25MA10464800
NJ
Other
Enumeration date
04/13/2016
Last updated
12/27/2022
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