Provider Demographics
NPI:1487846994
Name:RAJESH WADHWA MD PC
Entity Type:Organization
Organization Name:RAJESH WADHWA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:WADHWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-510-4041
Mailing Address - Street 1:2 HIDDEN HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:YARDVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08620-9513
Mailing Address - Country:US
Mailing Address - Phone:609-510-4041
Mailing Address - Fax:
Practice Address - Street 1:2 HIDDEN HOLLOW DR
Practice Address - Street 2:
Practice Address - City:YARDVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08620-9513
Practice Address - Country:US
Practice Address - Phone:609-510-4041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty