Healthcare Provider Details

I. General information

NPI: 1043251283
Provider Name (Legal Business Name): RACHNA SAXENA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ENGLE ST ENGLEWOOD HOSPITAL
ENGLEWOOD NJ
07631-1808
US

IV. Provider business mailing address

PO BOX 48310 EMERGENCY PHYSICIANS OF EMA INC
NEWARK NJ
07101-4810
US

V. Phone/Fax

Practice location:
  • Phone: 204-984-3000
  • Fax: 610-617-6280
Mailing address:
  • Phone: 201-894-3450
  • Fax: 610-617-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MB07712200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: