Individual
JITENDER PRASAD
Active
Individual
JITENDER PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA 47293
NJ
207L00000X
Anesthesiology Physician
Primary
25MA04729300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3244601
—
NJ
Enumeration date
05/23/2005
Last updated
08/02/2023
Update your record
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