Individual
REENA NATWARLAL JETHVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 A STREET, 3RD FLOOR ACP, SUITE 3314, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134-1095
(215) 427-5470
(215) 427-4393
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5264
(551) 996-5176
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
25MA09633500
NJ
207SG0202X
Clinical Biochemical Genetics Physician
25MA09633500
NJ
Other
Enumeration date
04/09/2009
Last updated
05/24/2017
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