Organization
JERSEY CITY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANDANA RAHA M.D. (OFFICE MANAGER)
(201) 963-0090
Entity
Organization
Contact information
Practice address
1 JOURNAL SQUARE PLZ, JERSEY CITY, NJ 07306-4004
(201) 963-0090
Mailing address
1 JOURNAL SQUARE PLZ, JERSEY CITY, NJ 07306-4004
(201) 963-0090
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA41101
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5475805
—
NJ
Enumeration date
02/19/2008
Last updated
02/19/2008
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