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Individual

DR. GITENDRA RAJIYAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
60 EVERGREEN PLACE, SUITE 400, EAST ORANGE, NJ 07018
(973) 395-1550
(973) 395-1556
Mailing address
21 EDGEWOOD ROAD, SUMMIT, NJ 07901
(973) 395-1550
(973) 395-1556

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05585100
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05585100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5407206
NJ
Enumeration date
01/17/2006
Last updated
07/30/2020
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