Individual
DR. BANDANA RAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 NEWARK AVE, STE 307, JERSEY CITY, NJ 07306-1353
(201) 963-0090
(201) 963-0355
Mailing address
3 HUBERT ST, WHIPPANY, NJ 07981-1365
(973) 599-9366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5475805
—
NJ
Enumeration date
06/09/2005
Last updated
07/24/2007
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