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Individual

DR. RAJEEV MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 235-5699
Mailing address
66 W GILBERT ST, SUITE 200, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA07043800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000395001
AMERICHOICE ID #
NJ
01
221494442
TAX ID #
NJ
01
29404
UNIVERSITY HP ID #
NJ
01
3416781
AETNA HMO ID #
NJ
01
4453781
AETNA PPO ID #
NJ
01
60011743
HORIZON NJ HEALTH ID #
NJ
01
8219773
GHI PPO ID #
NJ
05
8226300
NJ
01
86559
AMERICAID ID #
NJ
01
P3191505
OXFORD ID #
NJ
Enumeration date
06/14/2006
Last updated
03/17/2017
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