Provider Demographics
NPI:1154700268
Name:ROJAS, EDWARD RAUL (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:RAUL
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 BERGEN STREET
Mailing Address - Street 2:UH/I 248
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101
Mailing Address - Country:US
Mailing Address - Phone:973-972-6056
Mailing Address - Fax:973-972-3129
Practice Address - Street 1:150 BERGEN STREET
Practice Address - Street 2:UNIVERSITY HOSPITAL
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101
Practice Address - Country:US
Practice Address - Phone:973-972-6056
Practice Address - Fax:973-972-3129
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2024-03-14
Deactivation Date:2016-01-13
Deactivation Code:
Reactivation Date:2016-05-10
Provider Licenses
StateLicense IDTaxonomies
IAMD-49160207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease