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Individual

DR. NAMRATA GARGEE JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5825
(212) 342-4779
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
25MA10726900
NJ
2080P0210X
Pediatric Nephrology Physician
Primary
273956
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03225849
NY
Enumeration date
07/30/2008
Last updated
06/04/2021
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