Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 25MA10726900 | NJ |
Y | 2080P0210X | Pediatric Nephrologist | 273956 | NY |
NPI | 1871759811 |
---|---|
Provider Name | Dr. Namrata Gargee Jain |
First Address | Neptune, NJ 07753-2645 |
Second Address | New York, NY 10032-1559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03225849 | (05) | NY |