Individual
MR. HASNAIN RANGWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 IRON BRIDGE RD, FREEHOLD, NJ 07728-5304
(800) 337-6663
(732) 845-0804
Mailing address
200 BARR HARBOR DR, SUITE 200, FOUR TOWER BRIDGE, WEST CONSHOHOCKEN, PA 19428-4979
(848) 240-2812
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MP00076000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320558
AMERICAID/AMERIGROUP
NJ
01
—
3K3983
HEALTHNET
NJ
01
—
9420244
AETNA HMO
NJ
01
—
9487224
AETNA PPO
NJ
Enumeration date
05/10/2006
Last updated
11/01/2016
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