Organization
JOHN S. RAJAPAKSE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S RAJAPAKSE MD (CEO)
(732) 442-4422
Entity
Organization
Contact information
Practice address
495 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 442-4422
(732) 442-3577
Mailing address
495 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 442-4422
(732) 442-3577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA0282773000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140449
—
NJ
Enumeration date
10/20/2011
Last updated
10/20/2011
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