Organization
CENTER FOR DIGESTIVE DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY RAJA MD (OWNER)
(941) 475-5672
Entity
Organization
Contact information
Practice address
900 PINE ST STE 215, ENGLEWOOD, FL 34223-4458
(941) 475-5672
(941) 473-1456
Mailing address
900 PINE ST STE 215, ENGLEWOOD, FL 34223-4458
(941) 475-5672
(941) 473-1456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40189
FL
Other
Enumeration date
05/30/2007
Last updated
02/28/2008
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