Individual
DR. PINAKIN R JETHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 WARREN AVE, SPRING LAKE, NJ 07762-1233
(973) 541-8065
(973) 860-4317
Mailing address
858 RIDGEWOOD RD, MILLBURN, NJ 07041-1443
(973) 541-8065
(973) 860-4317
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA08693500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412121
—
NJ
Enumeration date
06/18/2007
Last updated
02/24/2021
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