Provider Demographics
NPI:1336657840
Name:THE HEART CENTER OF THE ORANGES
Entity Type:Organization
Organization Name:THE HEART CENTER OF THE ORANGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GITENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJIYAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-395-1550
Mailing Address - Street 1:21 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:95 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5403
Practice Address - Country:US
Practice Address - Phone:973-395-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty