Organization
JITAN CARDIOLOGY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAED A JITAN MD (OWNER)
(732) 946-0995
Entity
Organization
Contact information
Practice address
15 MCCAMPBELL RD, HOLMDEL, NJ 07733-2225
(732) 946-0995
(732) 946-0995
Mailing address
15 MCCAMPBELL RD, HOLMDEL, NJ 07733-2225
(732) 946-0995
(732) 946-0995
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07843100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106194
—
NJ
01
—
11101509
CAQH
NJ
Enumeration date
12/29/2006
Last updated
03/07/2023
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