Individual
RAJITHA R. GUJJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
239 CLAREMONT AVE, SUITE A, MONTCLAIR, NJ 07042-2833
(973) 338-4900
(973) 338-4420
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 967-8221
(201) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07684900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033243
—
NJ
Enumeration date
08/03/2005
Last updated
02/05/2019
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