Individual
DR. RAJA KISHINCHAND JAGTIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
297 S WASHINGTON AVE, SUITE # 1, BERGENFIELD, NJ 07621-3789
(201) 387-0087
(201) 387-2232
Mailing address
297 S WASHINGTON AVE, SUITE # 1, BERGENFIELD, NJ 07621-3789
(201) 387-0087
(201) 387-2232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA063561
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7867000
—
NJ
Enumeration date
05/10/2006
Last updated
07/08/2007
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