Provider Demographics
NPI:1720131469
Name:JARAHIAN MEDICAL LLC
Entity Type:Organization
Organization Name:JARAHIAN MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:JARAHIAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:732-458-7777
Mailing Address - Street 1:1640 ROUTE 88
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3036
Mailing Address - Country:US
Mailing Address - Phone:732-458-7777
Mailing Address - Fax:732-458-6741
Practice Address - Street 1:1640 ROUTE 88
Practice Address - Street 2:SUITE 203
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3036
Practice Address - Country:US
Practice Address - Phone:732-458-7777
Practice Address - Fax:732-458-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty