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Individual

RAJASREE AJAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
54 W JIMMIE LEEDS RD, SUITE 11, GALLOWAY, NJ 08205-9438
(609) 748-1001
(609) 748-1002
Mailing address
54 W JIMMIE LEEDS RD, SUITE 11, GALLOWAY, NJ 08205-9438
(609) 748-1001
(609) 748-1002

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA07573400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013731
NJ
01
074334W0J
MEDICARE PTAN
NJ
01
2284339000
AMERIHEALTH HMO
NJ
01
P00665219
PALMETTO GBA-RAILROAD MEDICARE
NJ
Enumeration date
05/27/2006
Last updated
02/24/2017
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