Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 198709 | NY |
Y | 2080P0202X | Pediatric Cardiologist | MA54586 | NJ |
NPI | 1144237645 |
---|---|
Provider Name | Dr. Rajiv Verma |
First Address | Newark, NJ 07112-2027 |
Second Address | Newark, NJ 07112-2027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6617204 | (05) | NJ |
G61074 | (02) | NJ |