Individual
DR. RAKESH PASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
172 SUMMERHILL RD STE 5, EAST BRUNSWICK, NJ 08816-4911
(732) 238-6440
(732) 238-2566
Mailing address
PO BOX 685, EAST BRUNSWICK, NJ 08816-0685
(732) 238-6440
(732) 238-2566
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
25MA06398600
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06398600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143929
AETNA
NJ
05
—
7068107
—
NJ
01
—
P683793
OXFORD
NJ
Enumeration date
07/17/2006
Last updated
08/28/2012
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