Individual
DR. RAKSHA J GAJARAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1096 BROAD ST, NEWARK, NJ 07114-2004
(973) 242-0191
(973) 242-0593
Mailing address
4 PELLINGTON CT, PINE BROOK, NJ 07058-9648
(973) 242-0191
(973) 242-0593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32176
NJ
208000000X
Pediatrics Physician
Primary
32176
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0898007
—
NJ
Enumeration date
08/22/2006
Last updated
02/08/2012
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