Individual
MR. RAKESH JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
107 CALVERT AVE E, EDISON, NJ 08820-3827
(201) 774-1085
Mailing address
107 CALVERT AVE E, EDISON, NJ 08820-3827
(201) 774-1085
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
45PO00007000
NJ
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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