Individual
AMITABH HAJELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 POCONO RD, DENVILLE, NJ 07834-2901
(973) 747-4155
(973) 215-2178
Mailing address
16 POCONO RD, DENVILLE, NJ 07834-2901
(973) 747-4155
(973) 215-2178
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA078053
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096059
—
NJ
Enumeration date
12/06/2006
Last updated
10/26/2007
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