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Organization

ANDREW B. RAJAPAKSE, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW B. RAJAPAKSE MD (CEO)
(732) 634-8483
Entity
Organization

Contact information

Practice address
107 GREEN ST, WOODBRIDGE, NJ 07095-2910
(732) 634-8483
(732) 634-8626
Mailing address
107 GREEN ST, WOODBRIDGE, NJ 07095-2910
(732) 634-8483
(732) 634-8626

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA028742
NJ
207R00000X
Internal Medicine Physician
25MA08277300NJ
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1877704
NJ
Enumeration date
04/24/2008
Last updated
05/29/2008
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