Individual
DR. GEORGE AJJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
(201) 843-5848
Mailing address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
(201) 843-5848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB03215900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109792000
AMERIHEALTH #
NJ
01
—
1042444
HORIZON NJ HEALTH #
NJ
01
—
1160885
HORIZON NJ HEALTH
NJ
01
—
160041362
RAILROAD MEDICARE
NJ
01
—
17385
UNIVERSITY HEALTH PLANS
NJ
05
—
1913905
—
NJ
01
—
24465
AMERICAID AMERIGROUP
NJ
01
—
2K1110
HEALTHNET
NJ
Enumeration date
06/10/2005
Last updated
04/16/2008
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