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NPI Code Detail

MEDICARE: RAJESH K. JAIN MD, MPH

MEDICARE:   RAJESH K. JAIN  MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician223599MA
2207X00000XOrthopaedic Surgery Physician25MA08073500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588644405
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJESH K. JAIN MD, MPH
Provider Business Mailing Address
First Line : 301 LIPPINCOTT DR STE 410
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4197
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 BOWMAN DR
Second Line : SUITE E-100
City : VOORHEES
State : NJ
Zip : 08043-9623
Country : US
Telephone Number : 609-267-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 11/27/2023

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