Organization
AMITABH HAJELA, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITABH HAJELA M.D. (SOLE MEMBER)
(973) 747-4155
Entity
Organization
Contact information
Practice address
16 POCONO RD, SUITE 103, DENVILLE, NJ 07834-2901
(973) 747-4155
Mailing address
397 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1512
(973) 747-4155
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA07805300
NJ
Other
Enumeration date
07/19/2007
Last updated
10/26/2007
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