| Jersey Dtx Llc | |
|
14 Woodward Dr Ste 1a Old Bridge NJ 08857-3374 | |
| (732) 360-2888 | |
| Not Available |
| Full Name | Jersey Dtx Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 14 Woodward Dr Ste 1a, Old Bridge, New Jersey |
| Authorized Official Name and Position | Padmarekha Rao (DIRECTOR) |
| Authorized Official Contact | 7323602888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Dtx Llc 14 Woodward Dr Ste 1a Old Bridge NJ 08857-3374 Ph: (732) 360-2888 | Jersey Dtx Llc 14 Woodward Dr Ste 1a Old Bridge NJ 08857-3374 Ph: (732) 360-2888 |
| NPI Number | 1972380285 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972380285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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