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Contact Information

SAMIR C JETHWA, DO
425 JACK MARTIN BLVD
BRICK, NJ08724-7732
 Phone: 732-836-4752
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SAMIR C JETHWA · (Male)

NPI Number 1871736108
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/16/2009
Last updated 12/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB09398100
  • NY License # 2769431
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • SOMERSET MEDICAL CENTER - (Acute Care)
    110 REHILL AVE
    SOMERVILLE, NJ 08876
  • SOMERSET MEDICAL CENTER - (Acute Care)
    110 REHILL AVE
    SOMERVILLE, NJ 08876
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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