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Individual

RAJA RAHULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 963-2200
(201) 963-0011
Mailing address
201 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 963-2200
(201) 963-0011

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA02897500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418502
NJ
Enumeration date
06/09/2006
Last updated
07/19/2010
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