Individual
DR. DEEPIKA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 BLEEKER ST STE 104, MILLBURN, NJ 07041-1460
(973) 379-9051
(973) 379-8828
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052432
IL
207R00000X
Internal Medicine Physician
2010024518
MO
207R00000X
Internal Medicine Physician
Primary
25MA09635900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479730
—
NJ
Enumeration date
03/04/2008
Last updated
12/01/2023
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