Organization
JITENDRA J. LODHAVIA M.D. , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDRA J LODHAVIA MD (PRESIDENT)
(201) 488-4420
Entity
Organization
Contact information
Practice address
71 SUMMIT AVE, GROUND FLOOR, REAR ENTRANCE, HACKENSACK, NJ 07601-1262
(201) 488-4420
(201) 488-7570
Mailing address
71 SUMMIT AVE, GROUND FLOOR, REAR ENTRANCE, HACKENSACK, NJ 07601-1262
(201) 488-4420
(201) 488-7570
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
25MA02730900
NJ
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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