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Individual

RAJIT BHOOSA MALLIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1709 TALL OAK LN, TOMS RIVER, NJ 08755-2175
(732) 330-9637
Mailing address
1709 TALL OAK LN, TOMS RIVER, NJ 08755-2175
(732) 330-9637

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
25MA08082900
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
250753
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08082900
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD435620
PA

Other

Enumeration date
10/22/2008
Last updated
02/23/2026
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