Individual
DR. NITEEN S JAMDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
346 SOUTH AVE, SUITE 5, FANWOOD, NJ 07023-1373
(908) 889-4700
(908) 889-0867
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101237679
VA
207R00000X
Internal Medicine Physician
Primary
25MA07724300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010195969
—
VA
Enumeration date
10/25/2005
Last updated
04/06/2015
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