Individual
DR. NISHAN GEORGE RAJARATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 ROUTE 10 E STE 201, RANDOLPH, NJ 07869-1925
(973) 989-0068
Mailing address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA11085600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
09/30/2024
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