Individual
DR. ASHA JAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 VILLAGE CT, HAZLET, NJ 07730-1534
(732) 739-8866
(732) 739-5652
Mailing address
35 VILLAGE CT, HAZLET, NJ 07730-1534
(732) 739-8866
(732) 739-5652
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA04117700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161501
—
NJ
Enumeration date
03/20/2006
Last updated
07/08/2007
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