Gajarawala, Raksha J

Gajarawala, Raksha J is an individual health care provider with primary practice located at 1096 Broad St , Newark NJ 07114-2004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gajarawala, Raksha J can be contacted via phone (973) 242-0191.

Contact Information

Primary practice address
1096 Broad St Newark NJ 07114-2004
Phone: (973) 242-0191
Fax: (973) 242-0593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32176 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32176 New Jersey

Profile Details

NPI number 1730295502
LBN Legal business name Gajarawala, Raksha J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730295502 NPPES
New Jersey MEDICAID 0898007

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