Organization
GRIGORY RASIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIGORY S. RASIN M.D. (OWNER)
(908) 686-4145
Entity
Organization
Contact information
Practice address
2143 MORRIS AVE STE 108, UNION, NJ 07083-6021
(908) 686-4145
(908) 851-2128
Mailing address
2143 MORRIS AVE STE 108, UNION, NJ 07083-6021
(908) 686-4145
(908) 851-2128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04227500
NJ
2084P0800X
Psychiatry Physician
25MA06556300
NJ
Other
Enumeration date
12/21/2016
Last updated
01/11/2017
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