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Organization

RAJITHA GUJJA MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJITHA GUJJA M.D (DOCTOR)
(973) 338-4900
Entity
Organization

Contact information

Practice address
239 CLAREMONT AVE STE A, MONTCLAIR, NJ 07042-2833
(973) 338-4900
(973) 338-4420
Mailing address
239 CLAREMONT AVE STE A, MONTCLAIR, NJ 07042-2833
(973) 338-4900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07684900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0033243
NJ
Enumeration date
01/09/2016
Last updated
01/09/2016
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