Individual
ILYAS A RAJPUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
258 N NEW ROAD, PLEASANTVILLE, NJ 08232
(609) 646-4064
(609) 272-8526
Mailing address
258 N NEW ROAD, PLEASANTVILLE, NJ 08232
(609) 646-4064
(609) 272-8526
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA36179
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2357909
—
NJ
Enumeration date
04/12/2006
Last updated
02/02/2009
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