Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA04369300 | NJ |
NPI | 1265401061 |
---|---|
Provider Name | Dr. Jagpal Rana |
First Address | South Plainfield, NJ 07080-5127 |
Second Address | South Plainfield, NJ 07080-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0724904 | (05) | NJ |