Individual
MR. DEWANG H RAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A. - C
Contact information
Practice address
15 HOFFMAN AVE, LAKE HIAWATHA, NJ 07034-2320
(917) 864-8957
Mailing address
15 HOFFMAN AVE, LAKE HIAWATHA, NJ 07034-2320
(917) 864-8957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013793-1
NY
363A00000X
Physician Assistant
Primary
25MP00235200
NJ
Other
Enumeration date
11/01/2006
Last updated
11/18/2011
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