Provider Demographics
NPI:1144255027
Name:MAJISU, CLAIRE A (MD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:A
Last Name:MAJISU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 BUTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4870
Mailing Address - Country:US
Mailing Address - Phone:201-333-8149
Mailing Address - Fax:
Practice Address - Street 1:166 LYONS AVE FL 1
Practice Address - Street 2:NEWARK BETH ISRAEL MEDICAL CENTER PEDIATRIC CLINIC
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2016
Practice Address - Country:US
Practice Address - Phone:973-926-7282
Practice Address - Fax:973-923-2978
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA074541208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9013903Medicaid