Individual
DR. PRATIBHA P RAO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
66 WEST GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07823300
NJ
208D00000X
General Practice Physician
Primary
25MA07823300
NJ
208M00000X
Hospitalist Physician
25MA07823300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075825
—
NJ
Enumeration date
10/31/2005
Last updated
09/11/2025
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