Whalio Doctors

NPI 1619018512

Rajesh Butala, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Elmwood Park, NJ

Practice location

Address
481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118
Phone
(201) 791-2600
Fax
(201) 791-1941
Mailing address
54 Lyle Pl, Edison, NJ 08820-4433

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 25MA06169100 (NJ)

Registry record

NPI
1619018512
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.