MRS. Renjini Raju Basil
NPI #1790056182 in Bergenfield, New Jersey
Provider Information
- NPI Number
- 1790056182
- Entity Type
- Individual
- Name
- MRS. Renjini Raju Basil
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 18, 2012
- Last Updated
- Jan 18, 2012
Practice Location
- Address
- 202 HOWARD DRIVE
- Address 2
- APT # I
- City
- Bergenfield
- State
- New Jersey
- ZIP Code
- 07621
- Phone
- (201) 385-0538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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