Individual
DR. MADHU M JOTWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4480
Mailing address
PO BOX 42, DEMAREST, NJ 07627-0042
(917) 412-1908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08401800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167321
—
NJ
Enumeration date
07/11/2008
Last updated
03/22/2010
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