MEDICARE: GUNJAN RAO MD

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
1	208000000X	Pediatrics Physician	25MA09529900	NJ
2	208000000X	Pediatrics Physician	048898	CT

General Provider Information

NPI Number	:	1841392800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUNJAN RAO MD

Provider Business Mailing Address
First Line	:	88 MORGAN ST APT PH1-1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-1427
Country	:	US
Telephone Number	:	857-225-2421
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 MCWILLIAMS PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-1609
Country	:	US
Telephone Number	:	212-226-7666
Fax Number	:	212-202-7988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	06/07/2024

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