Individual
DR. RAJESH BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
481 EDWARD H ROSS DR, ELMWOOD PARK, NJ 07407-3118
(201) 791-2600
(201) 791-1941
Mailing address
54 LYLE PL, EDISON, NJ 08820-4433
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA06169100
NJ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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