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Individual

DR. ALTAMASH RAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1474 TANYARD ROAD, SUITE A100, SEWELL, NJ 08080
(856) 566-7010
(856) 566-6961
Mailing address
1474 TANYARD ROAD, SUITE A100, SEWELL, NJ 08080
(856) 566-7010
(856) 566-6961

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB11448100
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MB11448100
NJ

Other

Enumeration date
05/11/2017
Last updated
08/21/2024
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