Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MA065336 | NJ |
NPI | 1013251073 |
---|---|
Provider Name | Dr. Ranjana Tavorath |
First Address | East Hanover, NJ 07936-1016 |
Second Address | East Hanover, NJ 07936-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2012 |
Last Update Date | 15/11/2012 |