Individual
DR. RASIK JIVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 ROUTE 539, CREAM RIDGE, NJ 08514-2334
(609) 758-3200
Mailing address
51 JOSEPH ST, MANALAPAN, NJ 07726-8332
(732) 866-3932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA55789
NJ
Other
Enumeration date
06/16/2006
Last updated
05/04/2009
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