Individual
JANA RASKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 HARRISON AVE, HIGHLAND PARK, NJ 08904-2708
(732) 846-1617
(732) 828-2181
Mailing address
400 HARRISON AVE, HIGHLAND PARK, NJ 08904-2708
(732) 846-1617
(732) 828-2181
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
25 MA 04118500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1616307
—
NJ
Enumeration date
06/13/2008
Last updated
06/13/2008
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