NPI | 1295156065 |
---|---|
Former Legal Business Name | KIRANBEN JADEJA MD LLC |
Entity Type | Organization |
Authorized Contact | KIRANBEN J JADEJA Psychiatrist 732-762-1857 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 25MA08210600) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 25MA08210600) |
Enumeration Date | 2013-12-22 |
Last Update Date | 2013-12-22 |