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Shyam Raja, MD
Student in an Organized Health Care Education/Training Program in Mullica Hill, New Jersey
NPI 1225619109

Shyam Raja is a Student in an Organized Health Care Education/Training Program based in Mullica Hill, NJ. Shyam Raja practices in Mullica Hill, NJ and has the professional credentials of MD. The NPI Number for Shyam Raja is 1225619109 and holds a License No. 390200000X (New Jersey).

The current practice location address for Shyam Raja is 700 Mullica Hill Rd, Mullica Hill, NJ and can be reached out via phone at 856-508-1000.

Location: 700 Mullica Hill Rd, Mullica Hill, NJ, 08062-4413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225619109
Provider Name
Shyam Raja
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 Mullica Hill Rd, Mullica Hill, NJ, 08062-4413
Phone Number
856-508-1000
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 Mullica Hill Rd
City
Mullica Hill
State
New Jersey
Zip
08062-4413
Phone Number
856-508-1000
Fax Number
person
Provider Business Mailing Address Details
Address
700 Mullica Hill Rd
City
Mullica Hill
State
New Jersey
Zip
08062-4413
Phone Number
856-508-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
390200000X (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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