Individual
PREETHI SALIAN RAGHAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112
(973) 926-7040
Mailing address
88 PRINCETON RD, PISCATAWAY, NJ 08854-3030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10422000
NJ
Other
Enumeration date
03/24/2015
Last updated
08/22/2018
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