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1962939215
RAVIKIRAN IYENGAR
ELIZABETH, NJ
NPI
1962939215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00301100)
Enumeration Date
2017-05-17
Last Update Date
2017-05-17
Business Address
RAVIKIRAN IYENGAR
817 RAHWAY AVE
ELIZABETH, NJ 07202-2212
Phone number: 908-353-5750
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Mailing Address
RAVIKIRAN IYENGAR
817 RAHWAY AVE
ELIZABETH, NJ 07202-2212
Phone number:
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