Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA07557300 | NJ |
NPI | 1003842022 |
---|---|
Provider Name | Dr. Rajesh Rao |
First Address | Morristown, NJ 07960-6092 |
Second Address | Morristown, NJ 07960-5155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 03/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0033430 | (05) | NJ |
H91737 | (02) | NJ |