Organization
JERSEY HOSPITALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DITINA GHETIA MD (OWNER)
(732) 801-8827
Entity
Organization
Contact information
Practice address
6 PETTIT AVE, SOUTH RIVER, NJ 08882-1053
(732) 801-8827
(908) 834-8033
Mailing address
6 PETTIT AVE, SOUTH RIVER, NJ 08882-1053
(732) 801-8827
(908) 834-8033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08888200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750698171
INDIVIDUAL NPI
NJ
Enumeration date
02/19/2015
Last updated
02/19/2015
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