Provider Demographics
NPI:1083303697
Name:JAVED, REJA
Entity Type:Individual
Prefix:
First Name:REJA
Middle Name:
Last Name:JAVED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HAWTHORNE CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3657
Mailing Address - Country:US
Mailing Address - Phone:413-627-7411
Mailing Address - Fax:
Practice Address - Street 1:18 HAWTHORNE CIR
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3657
Practice Address - Country:US
Practice Address - Phone:413-627-7411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health